Physical therapy Medicare reimbursement rates
Compare selected outpatient therapy base rates before claim-level adjustments.
On this page 6 sections
How these rates vary nationwide
Lowest to highest base rate across CMS payment localities. These are ranges, not national averages.
| Code | Office range | Facility range |
|---|---|---|
| 97110 | $26.97–$37.31109 of 109 localities | No supported rate |
| 97112 | $30.36–$41.95109 of 109 localities | No supported rate |
| 97140 | $25.72–$35.60109 of 109 localities | No supported rate |
| 97530 | $32.08–$45.39109 of 109 localities | No supported rate |
| 97535 | $29.84–$41.43109 of 109 localities | No supported rate |
All codes in this curated starting bundle. Ranges compare supported rates across payment localities; missing rates are not zero.
Reading this physical therapy bundle
These are unmodified rates for a starting set of therapy services. They help you compare locations and establish a fee-schedule baseline. A visit with several services or units needs additional payment calculations; adding the displayed rates does not produce the payable claim amount.
Therapy MPPR
Same-day therapy units after the practice-expense reduction
National payment after MPPR
$100.70
Without the reduction: $120.91 · reduction $20.21 (16.7%)
Payment notes
- Reduce practice expense, not the whole fee. For eligible same-day therapy services, the unit with the highest practice expense is paid in full. Subsequent units retain their work and malpractice amounts, but receive half their practice-expense amount.
- Repeated units also count. Three units of one eligible therapy code can mean one full-rate unit and two reduced units. Splitting those units across claim rows does not create three full-rate services.
- Assistant reductions are separate. For services with the CQ or CO therapy-assistant modifier, Medicare cuts its own payment by 15% after the MPPR and coinsurance. The allowed amount and the patient's coinsurance don't change, so don't add the two reductions together.
CMS guidance for this service groupCompare a payer offer for these codes97110, 97530 and 97140: how the services differCalculate a therapy visit with MPPR
Choose a payment locality for this bundle
- Alaska* · AK
- Alabama · AL
- Arkansas · AR
- Arizona · AZ
- Bakersfield · CA
- Chico · CA
- El Centro · CA
- Fresno · CA
- Hanford-Corcoran · CA
- Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) · CA
- Madera · CA
- Merced · CA
- Modesto · CA
- Napa · CA
- Oxnard-Thousand Oaks-Ventura · CA
- Redding · CA
- Rest Of California · CA
- Riverside-San Bernardino-Ontario · CA
- Sacramento-Roseville-Folsom · CA
- Salinas · CA
- San Diego-Chula Vista-Carlsbad · CA
- San Francisco-Oakland-Berkeley (Marin Cnty) · CA
- San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) · CA
- San Jose-Sunnyvale-Santa Clara (San Benito Cnty) · CA
- San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) · CA
- San Luis Obispo-Paso Robles · CA
- Santa Cruz-Watsonville · CA
- Santa Maria-Santa Barbara · CA
- Santa Rosa-Petaluma · CA
- Stockton · CA
Explore rates by specialty
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
