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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 July 2026.

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

$30.20

Typical physician fee. In New York, July 2026.

Insurers have agreed to pay about $30.20 for this service. Most negotiated rates run $5.25 to $77.62.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $186 · 10th to 90th $186 to $186Professionalmedian $30 · 10th to 90th $5 to $78
$0.1$1$10$100facility $186professional $30

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$5.25
Median
$77.62
Typical High
$77.62
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$0.02
Median
$0.04
Typical High
$549.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$114.82
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$154.88
Typical High
$186.21
United
Setting
Professional
Modifier
Global
Typical Low
$15.85
Median
$16.98
Typical High
$16.98
Univera
Setting
Facility
Modifier
Global
Typical Low
$186.21
Median
$186.21
Typical High
$186.21
Univera
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$154.88
Typical High
$186.21

Where New York sits

The same service costs 15.1 times more in Montana than in Massachusetts. 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· 5th of 50

$30.20

MT $79.43MA $5.25

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.