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Physical Therapy Maintenance Program in Home Health

New York 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?

$77.62

Typical negotiated rate. In New York, October 2026.

Insurers have agreed to pay about $77.62 for this service. The price depends on where it is billed: about $77.62 from a physician practice, and about $56.23 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$77.62$5.25 to $155
FacilityA hospital or hospital-owned outpatient department$56.23$34.67 to $186

How much rates vary

Facilitymedian $56 · 10th to 90th $35 to $186Professionalmedian $78 · 10th to 90th $5 to $186
$10$20$50$100$200$500facility $56professional $78

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
$5.25
Median
$77.62
Typical High
$77.62
Aetna
Setting
Professional
Modifier
None
Typical Low
$5.25
Median
$5.25
Typical High
$77.62
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$18.62
Median
$21.88
Typical High
$549.54
Cigna
Setting
Professional
Modifier
None
Typical Low
$30.20
Median
$30.20
Typical High
$114.82
Emblem Health
Setting
Facility
Modifier
None
Typical Low
$34.67
Median
$34.67
Typical High
$56.23
Excellus BCBS
Setting
Professional
Modifier
None
Typical Low
$154.88
Median
$154.88
Typical High
$186.21
United
Setting
Professional
Modifier
None
Typical Low
$15.85
Median
$16.98
Typical High
$16.98
Univera
Setting
Facility
Modifier
None
Typical Low
$186.21
Median
$186.21
Typical High
$186.21
Univera
Setting
Professional
Modifier
None
Typical Low
$154.88
Median
$154.88
Typical High
$186.21

Where New York 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.

New York· 6th of 50

$77.62

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.