Physical Therapy (Manual Therapy) Cost
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$27.72Medicare 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 (manual therapy) 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 97140
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: $27.72. Hospital (facility) physician rate: $27.72.
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 (Manual Therapy)?
Manual therapy is the hands-on treatment code of physical therapy: joint mobilization, soft tissue work, manual stretching, and manipulation performed directly by the therapist's hands, billed in 15-minute units. It addresses stiffness, restricted joints, and muscle tightness, and typically occupies one unit within a session that also includes exercise. Patients experience it as targeted, sometimes intense, hands-on work on the problem area.
What Affects the Cost
- –Like all timed PT codes, it bills per 15-minute unit, and it usually appears alongside therapeutic exercise units, adding a line to every visit's bill.
- –Chiropractors and PTs both bill this code, and payer rules about billing it on the same day as spinal manipulation create claim complications in chiropractic settings.
- –The share of your session spent hands-on versus exercising shifts the code mix and the total.
- –Hospital-based clinics layer facility fees on top of professional charges for identical treatment.
- –Extended courses for chronic conditions accumulate this add-on unit across dozens of visits.
How It Is Billed
CPT 97140 is time-based at 15 minutes per unit and counts within the same total timed-minute pool as the session's other timed codes, so it adds units only when enough one-on-one minutes are documented. Payers commonly require a modifier when it is billed the same day as certain other services, notably chiropractic manipulation, and some deny the combination outright on the same body region. It cannot be billed for time a machine or hot pack is working on you; hands-on contact is the requirement.
Insurance & Coverage Notes
Coverage follows your plan's overall physical therapy benefit: the same visit limits, copays, and authorization checkpoints apply regardless of which timed codes fill the session. In chiropractic care, plans often cover manipulation but scrutinize added manual therapy billing on the same visit, so chiropractic bills mixing the two deserve a look. Medicare pays it as standard therapy with the annual documentation threshold and 20 percent coinsurance.
Questions to Ask Before Booking
- 1.How many minutes of hands-on manual therapy will my sessions actually include?
- 2.Will this be billed alongside exercise units, and what does the combined session cost?
- 3.If I am seeing a chiropractor, will billing this with manipulation cause claim denials on my plan?
- 4.Does the treatment plan justify manual therapy at every visit, or only early on?
- 5.How does dropping or adding this unit change my per-visit cost?
Physical Therapy (Manual Therapy) (CPT 97140): questions
The 2026 national Medicare physician rate for CPT 97140 is $27.72 in an office and $27.72 in a hospital. Enter a ZIP code to apply the geographic adjustment for your locality.
For CPT 97140 the office and hospital physician rates are essentially the same ($27.72). The hospital will still usually add a separate facility fee that this page does not show.
Manual therapy is the hands-on treatment code of physical therapy: joint mobilization, soft tissue work, manual stretching, and manipulation performed directly by the therapist's hands, billed in 15-minute units. It addresses stiffness, restricted joints, and muscle tightness, and typically occupies one unit within a session that also includes exercise. Patients experience it as targeted, sometimes intense, hands-on work on the problem area. CMS bills it as “Manual therapy 1/> regions.”
No. $27.72 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.