What does insurance pay for CPT 97140 in Washington?
Anonymized historical claim benchmarks for manual therapy in Washington. 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 | $82 | $80 |
| Allowed amount | $43 | $42 |
| Paid amount | $36 | $36 |
Claim performance
Anonymized historical signals on how cleanly these claims tend to get paid.
Frequently asked questions
How is CPT 97140 typically reimbursed in Washington?+
Most commercial payers in Washington reimburse 97140 when documentation clearly supports the manual therapy techniques performed and medical necessity. Some payers require modifier 59 when billed alongside chiropractic CMT or other procedures.
When should I use modifier 59 with 97140?+
Use modifier 59 (or X-modifiers where required) when 97140 is performed on a different anatomic region than another procedure billed the same day, and your documentation supports separate, distinct services.
Related reimbursement pages
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- 98940 · Chiropractic adjustment (1–2 regions)CPT 98940 reimbursement in California
Chiropractic benchmarks for Chiropractic adjustment (1–2 regions) in California.
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