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Physical Therapy Maintenance Program in Home Health

Illinois 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?

$28.18

Typical physician fee. In Illinois, October 2026.

Insurers have agreed to pay about $28.18 for this service. Most negotiated rates run $22.39 to $81.28.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $22 · 10th to 90th $22 to $100Professionalmedian $30 · 10th to 90th $22 to $141
$20$50$100$200facility $22professional $30

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$22.39
Median
$22.39
Typical High
$22.39
Aetna
Setting
Professional
Modifier
None
Typical Low
$22.39
Median
$22.39
Typical High
$22.39
Cigna
Setting
Professional
Modifier
None
Typical Low
$30.20
Median
$30.20
Typical High
$141.25
Hally Health
Setting
Professional
Modifier
None
Typical Low
$21.88
Median
$24.55
Typical High
$141.25
Hally Health
Setting
Facility
Modifier
None
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Molina
Setting
Professional
Modifier
None
Typical Low
$30.20
Median
$30.20
Typical High
$30.20

Where Illinois 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.

Illinois· 19th of 50

$28.18

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.