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Occupational Therapy in an Outpatient Treatment Program

Pennsylvania rates for HCPCS G0129

Occupational therapy services requiring the skills of a qualified occupational therapist, furnished as a component of a partial hospitalization or intensive outpatient treatment program, per session (45 minutes or more)

Rates data updated July 2026.

How much does Occupational Therapy in an Outpatient Treatment Program cost?

$20.89

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $20.89 for this service. The price depends on where it is billed: about $20.89 from a physician practice, and about $20.89 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 5 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$20.89$20.89 to $20.89
FacilityA hospital or hospital-owned outpatient department$20.89$20.89 to $20.89

How much rates vary

Facilitymedian $21 · 10th to 90th $21 to $21Professionalmedian $21 · 10th to 90th $21 to $30
$10$100$1K$10Kfacility $21professional $21

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$20.89
Median
$20.89
Typical High
$20.89
Aetna
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$20.89
Typical High
$29.51
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$8,511.38
Typical High
$77,624.71
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$77.62
Typical High
$77.62
Cigna
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$75.86
Typical High
$125.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$10.47
Median
$10.47
Typical High
$10.47
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$20.89
Median
$20.89
Typical High
$20.89
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$20.89
Typical High
$29.51
United
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$60.26
Typical High
$323.59

Where Pennsylvania sits

The same service costs 1.7 times more in Minnesota than in Nebraska. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Pennsylvania· 27th of 51

$20.89

MN $34.67NE $20.89

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.