Physical Therapy (Manual Therapy) Cost in Missouri
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Missouri Medicare physician rate (2026)
-3.9% vs nationalAverage of 3 localities. Office range $25.92–$27.10.
Your ZIP in Missouri
Enter a ZIP code to see which Missouri locality covers you: metro St. Louis, metro Kansas City, or rest-of-state areas like Springfield, Columbia, Joplin, and the Bootheel.
What this number is
The figures on this page are 2026 Medicare physician allowed amounts for a specific CPT code: the professional fee, adjusted by geographic practice-cost indices. They are not a hospital chargemaster price, not your insurer's contracted rate, and not a quote. Hospital facility fees, anesthesia, implants, imaging reads, and pathology are billed separately when they apply.
National vs Missouri
Where Missouri ranks for this CPT
CPT 97140 by Missouri locality
| Locality | Office |
|---|---|
| metropolitan st. louis | $27.10 |
| metropolitan kansas city | $26.92 |
| rest of missouri | $25.92 |
PE GPCI ranges from 0.862 to 0.952 in Missouri. That index is why the same CPT is not one price statewide.
Physical Therapy (Manual Therapy) and how Missouri is priced
Missouri is a three-locality state: metropolitan St. Louis and metropolitan Kansas City are each priced separately, and everywhere else falls into a rest-of-state locality with lower geographic adjustments. Both metro localities approve higher amounts than outstate Missouri, and the Kansas City locality applies only to the Missouri side of that metro, since the Kansas side prices under Kansas's statewide locality. Springfield, Columbia, and the rural counties all share rest-of-state factors. The metro-versus-outstate gap is the main pricing story here.
St. Louis and Kansas City hold the state's academic medical centers and most of its specialty depth, drawing patients from far beyond Missouri's borders, including southern Illinois and eastern Kansas. Outstate Missouri is served by regional hubs in Springfield, Columbia, and Cape Girardeau, with the Ozarks and Bootheel among the harder places to reach specialty care. Rural hospital viability has been a persistent concern across the state.
This procedure: 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 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.
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?
Other featured procedures in Missouri
Physical Therapy (Manual Therapy) in other states
Physical Therapy (Manual Therapy) in Missouri: questions
How much does physical therapy (manual therapy) cost in Missouri?
The 2026 Medicare physician office rate for CPT 97140 averages $26.65 across 3 Missouri localities, from $25.92 in REST OF MISSOURI to $27.10 in METROPOLITAN ST. LOUIS. The hospital physician rate averages $26.65. Enter a ZIP for the exact locality.
Does the rate change inside Missouri?
Yes. CMS splits Missouri into 3 payment localities. For this CPT the office physician fee spans $1.18 from the lowest to highest locality. Enter a ZIP code to see which Missouri locality covers you: metro St. Louis, metro Kansas City, or rest-of-state areas like Springfield, Columbia, Joplin, and the Bootheel.
What will a Medicare patient owe for the physician fee?
After the Part B deductible, coinsurance is usually 20% of the allowed amount: about $5 for the office physician line or $5 for the hospital physician line in Missouri. Medigap may cover that 20%. This is not the hospital facility fee.
Is this the full physical therapy (manual therapy) bill in Missouri?
No. $26.65 is the Medicare physician allowed amount for CPT 97140. Anesthesia, facility fees, implants, and other CPT codes billed the same day are extra. Missouri ranks #15 of 51 states on this physician line (4% below the national office rate of $27.72).