Hva Koster Fysioterapitime?
A physical therapy session involves evaluation and treatment by a licensed physical therapist to restore movement, reduce pain, and improve function after injury, surgery, or due to chronic conditions.
Uten Forsikring
$150
Med Forsikring
$50
Medicare
$35
Nasjonalt Gjennomsnitt
$110
By Elena Bellini, MPH, Health Policy & Management · Last reviewed 2026-04-21 ·
Sources: CMS Medicare Provider Utilization and Payment Data 2025 · Methodology · Editorial standards Oversikt
A physical therapy session is a one-on-one visit with a licensed physical therapist or assistant, typically 45 to 60 minutes, used to evaluate, restore, or maintain movement after injury, surgery, or from a chronic condition. The first visit is usually an initial evaluation (billed at a higher code than follow-ups) and includes a history, physical exam, functional testing, and a plan of care. Subsequent visits are billed in 15-minute time-based CPT units covering therapeutic exercise, manual therapy, neuromuscular re-education, gait training, ultrasound, or electrical stimulation. Because PT is billed per unit, longer or more complex sessions carry more units and higher totals. Site of service matters substantially — outpatient PT at a hospital-owned clinic is almost always more expensive than the same session at an independent private practice for the identical codes. Most insurers require a physician referral, cap the number of visits per year, and may require prior authorization beyond a set number of visits.
Hva påvirker kostnaden
- Site of service: hospital outpatient PT departments add a facility fee that independent clinics don't, often doubling the bill.
- Number of CPT units billed: each 15-minute unit of exercise, manual therapy, or modality is billed separately.
- Evaluation vs follow-up: the initial evaluation is billed at a higher rate (and a more complex evaluation code if the case is moderate or high complexity).
- Modalities used: ultrasound, electrical stimulation, dry needling, and aquatic therapy each have separate codes and costs.
- Treating clinician: sessions delivered by a licensed PT can be billed differently than sessions delivered by a PT assistant (Medicare specifically reduces the rate for PTA-delivered services).
- Insurance visit caps: once your annual visit cap is reached, further sessions become full out-of-pocket unless prior authorization is granted.
Hvordan Spare
- Choose an independent outpatient PT clinic rather than a hospital-affiliated clinic whenever possible.
- Ask for a home exercise program after a few supervised sessions — self-directed progression often gets you to goals without many additional visits.
- Confirm prior authorization is on file if your plan requires it past a certain visit threshold; surprise denials can be expensive.
- Ask whether cash-pay rates are lower than your in-network negotiated rate when you have a high-deductible plan.
- Use your HSA or FSA to pay copays and coinsurance with pre-tax dollars.
- Verify the Medicare annual therapy threshold and KX-modifier process with your clinic if coverage is running up against caps.
Forsikrings- og dekningsnotater
Medicare Part B covers physical therapy when medically necessary, with 20% coinsurance after the Part B deductible. Medicare no longer caps PT spending, but once a patient exceeds an annual threshold, providers must attach a KX modifier documenting continued medical necessity; past a higher threshold, targeted medical review may be triggered. Commercial plans usually cover PT with a per-visit copay or coinsurance, typically capping total annual visits (often 20-60). Prior authorization is increasingly common beyond the first block of visits. A physician referral is often required, especially for Medicare. Direct-access PT (without a physician referral) is allowed in many states but coverage rules may differ.
Data sources for this page
Cost figures on this page are compiled from the following sources, triangulated per the rules in our methodology:
- CMS Medicare Provider Utilization and Payment Data 2025 — primary CMS reference used as the Medicare-rate anchor.
- Hospital Price Transparency machine-readable files (HPT MRFs) from a sample of major hospitals in each state, per the federal Hospital Price Transparency rule.
- Transparency in Coverage payer in-network rate files for commercial-rate cross-validation.
- State All-Payer Claims Database (APCD) summaries where published (Colorado, New Hampshire, Massachusetts, Minnesota, Maine, Utah, Vermont, Rhode Island, Washington, Oregon).
Last reviewed 2026-04-21. See editorial standards for our fact-checking process and correction policy.
Range: $108 to $210 · 50 states shown
Kostnad per Stat
| Stat | Uten Forsikring | Med Forsikring | Medicare |
|---|---|---|---|
| Mississippi | $108 | $36 | $25 |
| Arkansas | $110 | $36 | $26 |
| West Virginia | $110 | $36 | $26 |
| Oklahoma | $112 | $37 | $26 |
| Alabama | $115 | $38 | $27 |
| Kentucky | $125 | $41 | $29 |
| Louisiana | $128 | $42 | $30 |
| Iowa | $130 | $43 | $30 |
| Kansas | $132 | $44 | $31 |
| New Mexico | $132 | $44 | $31 |
| North Dakota | $132 | $44 | $31 |
| South Carolina | $132 | $44 | $31 |
| South Dakota | $132 | $44 | $31 |
| Idaho | $135 | $45 | $31 |
| Nebraska | $135 | $45 | $31 |
| Tennessee | $135 | $45 | $31 |
| Indiana | $138 | $46 | $32 |
| Georgia | $140 | $46 | $33 |
| Missouri | $140 | $46 | $33 |
| Utah | $140 | $46 | $33 |
| Wyoming | $140 | $46 | $33 |
| Michigan | $142 | $47 | $33 |
| Montana | $142 | $47 | $33 |
| North Carolina | $142 | $47 | $33 |
| Arizona | $145 | $48 | $34 |
| Maine | $148 | $49 | $34 |
| Ohio | $148 | $49 | $34 |
| Wisconsin | $148 | $49 | $34 |
| Texas | $150 | $50 | $35 |
| Florida | $152 | $50 | $35 |
| Minnesota | $152 | $50 | $35 |
| Delaware | $155 | $51 | $36 |
| Illinois | $155 | $51 | $36 |
| Pennsylvania | $155 | $51 | $36 |
| Nevada | $158 | $52 | $37 |
| Vermont | $158 | $52 | $37 |
| Virginia | $158 | $52 | $37 |
| Colorado | $160 | $53 | $37 |
| New Hampshire | $160 | $53 | $37 |
| Oregon | $162 | $53 | $38 |
| Maryland | $168 | $55 | $39 |
| Rhode Island | $168 | $55 | $39 |
| Washington | $168 | $55 | $39 |
| Connecticut | $180 | $59 | $42 |
| New Jersey | $182 | $60 | $42 |
| California | $198 | $65 | $46 |
| Massachusetts | $200 | $66 | $46 |
| Alaska | $205 | $68 | $48 |
| New York | $205 | $68 | $48 |
| Hawaii | $210 | $69 | $49 |
Ofte Stilte Spørsmål
Hva koster fysioterapitime uten forsikring?
Gjennomsnittskostnaden for fysioterapitime uten forsikring i USA er $150. Kostnadene varierer betydelig per stat.
Dekker forsikringen fysioterapitime?
De fleste helseforsikringsplaner dekker fysioterapitime når det er medisinsk nødvendig. Med forsikring er den gjennomsnittlige egenandelen $50.
Dekker Medicare fysioterapitime?
Medicare Del B dekker vanligvis fysioterapitime ved legeforordning. Det gjennomsnittlige Medicare-godkjente beløpet er $35.
Gjennomgått av Elena Bellini · Sist gjennomgått: 2026-04-21
Data fra CMS Medicare Provider Utilization and Payment Data 2025. Sist oppdatert: 2026-03-01. Denne informasjonen er kun for utdanningsformål og utgjør ikke medisinsk rådgivning. Denne nettsiden er kun for informasjonsformål og utgjør ikke medisinsk rådgivning. Kontakt alltid kvalifisert helsepersonell.