Physical Therapy (Therapeutic Exercise) Cost in Missouri
Therapeutic exercises
Missouri Medicare physician rate (2026)
-3.9% vs nationalAverage of 3 localities. Office range $27.16–$28.40.
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 97110 by Missouri locality
| Locality | Office |
|---|---|
| metropolitan st. louis | $28.40 |
| metropolitan kansas city | $28.22 |
| rest of missouri | $27.16 |
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 (Therapeutic Exercise) 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: 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 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.
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?
Other featured procedures in Missouri
Physical Therapy (Therapeutic Exercise) in other states
Physical Therapy (Therapeutic Exercise) in Missouri: questions
How much does physical therapy (therapeutic exercise) cost in Missouri?
The 2026 Medicare physician office rate for CPT 97110 averages $27.93 across 3 Missouri localities, from $27.16 in REST OF MISSOURI to $28.40 in METROPOLITAN ST. LOUIS. The hospital physician rate averages $27.93. 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 $1.24 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 $6 for the office physician line or $6 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 (therapeutic exercise) bill in Missouri?
No. $27.93 is the Medicare physician allowed amount for CPT 97110. 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 $29.06).