Physical Therapy (Therapeutic Exercise) Cost
Therapeutic exercises
$29.06Medicare physician fee2026 national office rate- ✓Your ZIP's wage-adjusted hospital and surgery centre rates
- ✓Five nearby hospitals by name, with CMS star ratings
- ✓The add-on codes that typically land on the bill
- ✓A word-for-word script for asking for a good-faith estimate
- ✓A private link you can reopen and share
- ✓Everything in the Premium report
- ✓15 nearby hospitals instead of five
- ✓Filled good-faith-estimate request letter
- ✓Bill-negotiation letter
- ✓Printable PDF download
National Medicare physician rate (2026)
Get the rate for your ZIP
CMS adjusts this CPT by locality. A five-digit ZIP is enough — no account, no insurance card.
What physical therapy (therapeutic exercise) costs at hospitals near you
Everything above is a national average. The hospital you pick in your area moves the bill more than anything else you control.
Rates for your ZIP, 5 named hospitals with CMS ratings, the add-on codes, and the scheduler script.
One-off payment, no account and no subscription. You get a private link and an email. No medical records and no insurance card, ever.
What these numbers are
Every figure on this page is a 2026 Medicare allowed amount: the physician line comes from the Physician Fee Schedule adjusted by geographic practice-cost indices, and the facility totals come from the CMS hospital outpatient (OPPS) and ambulatory surgery centre rates. None of them is a hospital chargemaster price, your insurer's contracted rate, or a quote. Anesthesia, pathology, imaging reads and follow-up care are billed under their own codes when they apply, and an inpatient stay is paid a different way again.
How CMS prices CPT 97110
Work is about 52% of the office total RVU; practice expense is about 47%. Localities with a high PE GPCI move this code more when practice expense is a large share.
Office vs hospital for this code
Office (non-facility) physician rate: $29.06. Hospital (facility) physician rate: $29.06.
Medicare patients typically owe 20% of the allowed amount after the Part B deductible — about $6 for the office physician fee, before any Medigap coverage. That coinsurance does not include a hospital facility fee.
Labeled private-plan and cash ranges on this page are arithmetic multiples of Medicare, not negotiated quotes. Ask the billing office for the CPT code, the site of service, and a good-faith estimate.
What Is Physical Therapy (Therapeutic Exercise)?
Therapeutic exercise is the foundational hands-on-guidance code of physical therapy: strength, range-of-motion, and flexibility exercises prescribed and supervised by a PT to restore function after injury or surgery. It is billed in 15-minute units, so a typical session includes two to four units of this code, often mixed with other billed services. Expect active work: you exercise while the therapist coaches, corrects form, and progresses the program visit by visit.
What Affects the Cost
- –Billing is per 15-minute unit, so the number of units per visit, not just the number of visits, drives your bill.
- –A full rehab course after surgery commonly spans 10 to 36 visits, making the per-visit total a recurring weekly expense.
- –Hospital-owned therapy clinics attach facility fees that private PT practices do not.
- –Sessions usually combine this code with others like manual therapy (97140), stacking multiple billed lines per visit.
- –High-deductible plan members often find cash-pay PT packages cheaper than their negotiated insurance rates.
How It Is Billed
CPT 97110 is a time-based code billed in 15-minute units under the strict timed-unit counting rules, so the minutes documented determine the units charged; a one-hour session might yield three or four total timed units across all codes combined. It appears alongside an evaluation code at the first visit and alongside other treatment codes thereafter. Medicare requires therapy claims to carry a modifier once annual spending passes a threshold, at which point continued medical necessity must be documented, though the old hard cap was eliminated.
Insurance & Coverage Notes
Commercial plans typically cover PT with a per-visit copay or coinsurance and a defined visit limit per year, often 20 to 60 visits, and parity rules do not apply to physical therapy, so those limits are enforceable. Many plans require authorization after an initial batch of visits, managed by the clinic. Medicare has no visit cap but applies a documentation threshold, and 20 percent coinsurance applies per visit without a supplement; ask the clinic how many units they typically bill per session, since that varies widely between practices.
Questions to Ask Before Booking
- 1.How many units do you typically bill per session, and what will each visit cost me?
- 2.How many PT visits does my plan allow per year, and does that count all therapy types combined?
- 3.Do you need to get authorization after a certain number of visits?
- 4.What is your cash rate per visit, and is it cheaper than my insurance rate before my deductible is met?
- 5.How much of each session will be one-on-one with the therapist versus independent exercise?
Physical Therapy (Therapeutic Exercise) (CPT 97110): questions
The 2026 national Medicare physician rate for CPT 97110 is $29.06 in an office and $29.06 in a hospital. Enter a ZIP code to apply the geographic adjustment for your locality.
For CPT 97110 the office and hospital physician rates are essentially the same ($29.06). The hospital will still usually add a separate facility fee that this page does not show.
Therapeutic exercise is the foundational hands-on-guidance code of physical therapy: strength, range-of-motion, and flexibility exercises prescribed and supervised by a PT to restore function after injury or surgery. It is billed in 15-minute units, so a typical session includes two to four units of this code, often mixed with other billed services. Expect active work: you exercise while the therapist coaches, corrects form, and progresses the program visit by visit. CMS bills it as “Therapeutic exercises.”
No. $29.06 is the physician allowed amount. Anesthesia, facility fees, implants, imaging interpretation billed under a different code, and pathology are separate when they apply. Private-plan allowed amounts are often higher than Medicare; your deductible and coinsurance still apply.
For cash-pay surgery shopping, use this CPT as the Medicare floor when you compare written quotes. How cash-price shopping works.