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Physical Therapy Maintenance Program in Home Health

California rates for HCPCS G0159

Services performed by a qualified physical therapist, in the home health setting, in the establishment or delivery of a safe and effective physical therapy maintenance program, each 15 minutes

Rates data updated October 2026.

How much does Physical Therapy Maintenance Program in Home Health cost?

$12.59

Typical physician fee. In California, October 2026.

Insurers have agreed to pay about $12.59 for this service. Most negotiated rates run $12.59 to $30.20.

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 7 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $78 · 10th to 90th $22 to $112Professionalmedian $13 · 10th to 90th $9 to $78
$10$20$50$100$200facility $78professional $13

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$77.62
Median
$77.62
Typical High
$77.62
Aetna
Setting
Professional
Modifier
None
Typical Low
$22.39
Median
$77.62
Typical High
$93.33
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$18.62
Median
$21.88
Typical High
$28.84
Blue Shield
Setting
Professional
Modifier
None
Typical Low
$8.71
Median
$12.59
Typical High
$12.59
Cigna
Setting
Professional
Modifier
None
Typical Low
$30.20
Median
$30.20
Typical High
$141.25
Molina
Setting
Professional
Modifier
None
Typical Low
$33.11
Median
$33.11
Typical High
$33.11
Providence
Setting
Facility
Modifier
None
Typical Low
$7.94
Median
$77.62
Typical High
$112.20
Providence
Setting
Professional
Modifier
None
Typical Low
$30.20
Median
$30.20
Typical High
$30.20
1 more rate with less common billing modifiers

A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.

Insurance Carrier
Kaiser Permanente
Setting
Professional
Modifier
RR · Rental
Typical Low
$891.25
Median
$891.25
Typical High
$891.25

Where California sits

The same service costs 83176.4 times more in Massachusetts than in Louisiana. 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.

California· 48th of 50

$12.59

MA $2,512LA $0.03

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.