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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 July 2026.

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

$22.39

Typical negotiated rate. In Texas, July 2026.

Insurers have agreed to pay about $22.39 for this service. The price depends on where it is billed: about $22.39 from a physician practice, and about $22.39 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 8 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$22.39$22.39 to $22.39
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 $100Professionalmedian $22 · 10th to 90th $22 to $22
$10.0$50.0$200.0$1.0Kfacility $22professional $22

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
$22.39
Median
$22.39
Typical High
$22.39
BCBS
Setting
Facility
Modifier
Global
Typical Low
$23.44
Median
$26.30
Typical High
$28.18
BCBS
Setting
Professional
Modifier
Global
Typical Low
$19.50
Median
$19.50
Typical High
$19.50
Cigna
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$30.20
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$22.39
Median
$22.39
Typical High
$22.39
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$5.25
Median
$5.25
Typical High
$5.25
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$50.12
Providence
Setting
Facility
Modifier
Global
Typical Low
$22.39
Median
$22.39
Typical High
$22.39
Providence
Setting
Professional
Modifier
Global
Typical Low
$5.25
Median
$30.20
Typical High
$30.20
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$21.88
Typical High
$21.88

Where Texas sits

The same service costs 15.1 times more in Montana than in Massachusetts. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Texas $22.39 · 28th of 50
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.