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Physical Therapy Maintenance Program in Home Health

Texas 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?

$30.20

Typical negotiated rate. In Texas, October 2026.

Insurers have agreed to pay about $30.20 for this service. The price depends on where it is billed: about $30.20 from a physician practice, and about $22.39 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$30.20$22.39 to $30.20
FacilityA hospital or hospital-owned outpatient department$22.39$22.39 to $26.30

How much rates vary

Facilitymedian $22 · 10th to 90th $22 to $32Professionalmedian $30 · 10th to 90th $22 to $30
$10$20facility $22professional $30

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
$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
BCBS Texas
Setting
Facility
Modifier
None
Typical Low
$23.44
Median
$26.92
Typical High
$30.20
BCBS Texas
Setting
Professional
Modifier
None
Typical Low
$19.50
Median
$19.50
Typical High
$19.50
Cigna
Setting
Professional
Modifier
None
Typical Low
$30.20
Median
$30.20
Typical High
$30.20
Moda Health
Setting
Facility
Modifier
None
Typical Low
$22.39
Median
$22.39
Typical High
$31.62
Moda Health
Setting
Professional
Modifier
None
Typical Low
$22.39
Median
$22.39
Typical High
$22.39
Molina
Setting
Professional
Modifier
None
Typical Low
$30.20
Median
$30.20
Typical High
$30.20
Providence
Setting
Facility
Modifier
None
Typical Low
$22.39
Median
$22.39
Typical High
$31.62
Providence
Setting
Professional
Modifier
None
Typical Low
$30.20
Median
$30.20
Typical High
$30.20
Wellpoint
Setting
Professional
Modifier
None
Typical Low
$21.88
Median
$21.88
Typical High
$21.88

Where Texas 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.

Texas· 15th of 50

$30.20

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.