CPT 97140 Physical Therapy

How Much Does Manual therapy techniques Cost?

Manual therapy techniques, each 15 minutes (CPT 97140) costs $20 at Medicare rates.

Medicare (Facility)
$20
CMS PFS 2026 national rate
Medicare (Office/Clinic)
$30
Non-facility setting

Manual therapy techniques Cost by Location

Medicare-adjusted rates across CMS localities

Location Medicare Rate Est. Commercial
AK — ALASKA $36 $47 — $72
AK — ALASKA* $28 $42 — $69
AL — ALABAMA $26 $34 — $52
AR — ARKANSAS $26 $34 — $52
AZ — ARIZONA $27 $36 — $55
AZ — Phoenix $20 $30 — $51
CA — BAKERSFIELD $29 $38 — $59
CA — CHICO $29 $38 — $58
CA — EL CENTRO $29 $38 — $58
CA — FRESNO $29 $38 — $58
CA — HANFORD-CORCORAN $29 $38 — $58
CA — LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY) $31 $40 — $61
CA — Los Angeles $22 $33 — $55
CA — MADERA $29 $38 — $58
CA — MERCED $29 $38 — $58
CA — MODESTO $29 $38 — $58
CA — NAPA $33 $43 — $66
CA — OXNARD-THOUSAND OAKS-VENTURA $31 $40 — $61
CA — REDDING $29 $38 — $58
CA — REST OF CALIFORNIA $29 $38 — $58
CA — RIVERSIDE-SAN BERNARDINO-ONTARIO $29 $38 — $59
CA — SACRAMENTO-ROSEVILLE-FOLSOM $30 $39 — $61
CA — SALINAS $30 $39 — $60
CA — SAN DIEGO-CHULA VISTA-CARLSBAD $31 $40 — $61
CA — SAN FRANCISCO-OAKLAND-BERKELEY (MARIN CNTY) $34 $45 — $69

How to Reduce Your Cost for Manual therapy techniques

Practical tips that can save you hundreds or thousands of dollars

  • 1
    Ask about cash-pay discounts

    Many hospitals and clinics offer 20-40% discounts for self-pay patients. Always ask before scheduling.

  • 2
    Compare facility vs. office setting costs

    For this procedure, the office rate ($30) differs from the facility rate ($20). Ask if it can be done in an office setting.

  • 3
    Shop around — costs vary significantly

    Medicare rates for this procedure range from $20 to $36 depending on location. Commercial rates vary even more.

How is the Price Calculated?

Medicare calculates procedure payments using Relative Value Units (RVUs). Each procedure has three components multiplied by a conversion factor ($33.40 in 2026) and adjusted by geographic cost indices.

0.43
Work RVU
0.17
Practice Expense RVU
0.01
Malpractice RVU

Payment = Total RVU () x CF ($33.40) = N/A

Frequently Asked Questions

How much does Manual therapy techniques cost?

The Medicare facility rate for Manual therapy techniques is $20. Commercial insurance rates typically range from 150% to 250% of Medicare (varies by plan).

How much does Manual therapy techniques cost without insurance?

Without insurance, the cost of Manual therapy techniques can range from 150% of Medicare to 500% of Medicare depending on the facility. Many hospitals and clinics offer self-pay discounts of 20-40% off their chargemaster price. Always ask about cash pricing before your visit.

Does insurance cover Manual therapy techniques?

Most commercial health insurance plans and Medicare cover Manual therapy techniques when ordered by a physician for a medically necessary reason. Your out-of-pocket cost depends on your plan's deductible, copay/coinsurance structure, and whether you use an in-network provider. Check with your insurance company before scheduling to confirm coverage and get a cost estimate.

Why does the cost vary so much by location?

Medicare adjusts payments using Geographic Practice Cost Indices (GPCIs) that reflect local differences in physician work costs, practice expenses, and malpractice insurance. Manhattan, San Francisco, and other high-cost areas pay significantly more than rural regions. Commercial insurers follow similar geographic patterns.

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