What does insurance pay for CPT 97110 in Oregon?
Anonymized historical claim benchmarks for therapeutic exercise in Oregon. Actual payment varies by payer, contract terms, modifiers, and documentation.
Updated April 1, 2026
How these numbers are calculated
Based on anonymized claims from practices over Jan 2024 – Dec 2025. Sample density is currently strong sample.
Figures reflect anonymized historical claim aggregates and are intended as directional benchmarks. Actual reimbursement varies by payer, contract terms, modifiers, place of service, and documentation.
Historical payment range
How billed, allowed, and paid amounts distribute across the sample.
| Metric | Average | Median |
|---|---|---|
| Billed amount | $78 | $75 |
| Allowed amount | $40 | $39 |
| Paid amount | $34 | $33 |
Claim performance
Anonymized historical signals on how cleanly these claims tend to get paid.
Frequently asked questions
Does insurance cover CPT 97110 in Oregon?+
Most commercial plans in Oregon cover CPT 97110 when there is a documented plan of care and medical necessity. Visit caps, prior authorization, and medical-necessity reviews vary by payer.
How many units of 97110 can I bill per visit?+
Each unit represents 15 minutes of skilled, one-on-one therapeutic exercise. Apply CMS 8-minute rule guidance and your payer policies, and document time and the specific exercises performed.
Related reimbursement pages
Explore other CPT codes and states with anonymized historical benchmarks.
- 97810 · Acupuncture (initial 15 min)CPT 97810 reimbursement in Oregon
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- 97811 · Acupuncture (additional 15 min)CPT 97811 reimbursement in Oregon
Acupuncture benchmarks for Acupuncture (additional 15 min) in Oregon.
- 98940 · Chiropractic adjustment (1–2 regions)CPT 98940 reimbursement in California
Chiropractic benchmarks for Chiropractic adjustment (1–2 regions) in California.
- 97140 · Manual therapyCPT 97140 reimbursement in Washington
Physical Therapy benchmarks for Manual therapy in Washington.
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