Physical Therapy Reimbursement Rates
While negotiated reimbursement rates between a health insurance company and a healthcare provider are confidential, we can get general sense for reimbursement rates by looking at Medicare reimbursement, which are all public.
PT Evaluation: Low Complexity (97161): $87.70
PT Evaluation: Moderate Complexity (97162 ): $87.70
SLP Treatment - Individual (92507): $81.20
PT Re-Evaluation (97164): $60.27
Therapeutic Activities (97530): $40.42
Aquatic Therapy/Exercise (97113): $39.70
Neuromuscular Re-Education (97112): $36.09
Self Care/Home Management Training (97535): $35.01
Therapeutic Exercise (97110): $31.40
Gait Training (97116): $31.04
Massage Therapy (97124): $29.95
Manual Therapy (97140): $28.87
Group Therapy (97150): $18.77
Mechanical Traction (97012): $15.52
Electrical Stimulation - Manual (97032): $15.16
Ultrasound/Phonophoresis (97305): $14.08
Electrical Stimulation, Medicare Non-Wound - Unattended (G0283): $14.07
Vasopneumatic Device (97016): $12.63
Note: CPT code listed in parenthesis; reimbursement amounts listed above refer to national payment amounts
It’s important to note that some of the CPT codes listed above are timed, meaning that physical therapists can bill more than 1 unit, depending on the amount of time devoted to the activity. For example, Therapeutic Activities (97530) is a timed service meaning that PTs can charge $40.42 for every 15 minute unit.
If you are a PT interested in expanding your supplemental income by seeing patients over telehealth or if you are a PT interested in setting your own hours and being your own boss through an independent telehealth practice, please fill out the form below!
At Comet, we’ve been building a set of software tools to support independent physical therapists looking at setting up their own private practices. Our mission is to bring PT into the 21st century and increase modalities with which patients can seek and receive care.
