CPT 97113 Physical Therapy/Rehab

Aquatic therapy/exercises Cost

Body System: Musculoskeletal

Medicare Facility Rate
$37
CMS PFS CY2026
Medicare Non-Facility Rate
$37
Office/clinic setting

Relative Value Units (RVUs)

Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)

0.48
Work RVU
0.62
Facility PE RVU
0.01
Malpractice RVU
1.11
Total RVU

Cost by Location

Location Medicare Rate Est. Commercial
AK — ALASKA $47 $60 — $93
AL — ALABAMA $35 $45 — $69
AR — ARKANSAS $34 $44 — $68
AZ — ARIZONA $37 $48 — $73
CA — BAKERSFIELD $39 $51 — $79
CA — CHICO $39 $51 — $79
CA — EL CENTRO $39 $51 — $79
CA — FRESNO $39 $51 — $79
CA — HANFORD-CORCORAN $39 $51 — $79
CA — LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY) $42 $54 — $83
CA — MADERA $39 $51 — $79
CA — MERCED $39 $51 — $79
CA — MODESTO $39 $51 — $79
CA — NAPA $45 $58 — $89
CA — OXNARD-THOUSAND OAKS-VENTURA $41 $54 — $83
CA — REDDING $39 $51 — $79
CA — REST OF CALIFORNIA $39 $51 — $79
CA — RIVERSIDE-SAN BERNARDINO-ONTARIO $40 $51 — $79
CA — SACRAMENTO-ROSEVILLE-FOLSOM $41 $53 — $82
CA — SALINAS $41 $53 — $82

Frequently Asked Questions

How much does Aquatic therapy/exercises cost?

The Medicare facility rate is $37. Commercial insurance typically pays 150-250% of Medicare rates (varies).

How much does Aquatic therapy/exercises cost without insurance?

Without insurance, you may pay the hospital's chargemaster rate, which is often 300-500% of Medicare. Ask about cash-pay discounts — many facilities offer 20-40% off for self-pay patients. The Medicare baseline for this procedure is $37.

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