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See a sample rate comparisonCPT 97140 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Manual Therapy 1 Regions, Manual Therapy Techniques Eg Mobilization Manipulation Manual Lymphatic Drainage Manual Traction 1 Or More Regions Each 15 Minutes
| Key Fact | Detail |
|---|---|
| Service Type | Medicine Services and Procedures Physical Medicine and Rehabilitation Evaluations |
| Common Place of Service | 11 - Office |
| Common Modifiers | GP - Services delivered under an outpatient physical therapy plan of care 59 - Distinct Procedural Service |
| Complexity Level | Low |
| Medicare Fee Schedule | $27.72 national non-facility rate (2026) · View Medicare rates for 97140 |
| Medicaid Fee Schedule | $23.34 median of the 7 states in the free preview · View Medicaid rates for 97140 |
National average reimbursement for CPT 97140 by major payers:
$27.37
$28.79
$27.59
$29.44
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CPT 97140
5 of 25 sample ratesHigher to lower in this preview
Benjamin Larson
Tri-Valley Urology Medical Group
$54.47Published rateTaha Faruqi
Thomas E. Mackell, M.D. Ltd
$30.42Published rateDavid Flood
Caduceus Physicians Medical Grou
$28.87Published rateBrad Berger
Presence Behavioral Health
$25.62Published rateMorris Baumgarten
Morris Baumgarten Md Inc
$21.98Published rate
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See a sample payer proposalCPT 97140 vs. Other Physical Medicine and Rehabilitation Evaluations Codes
The CPT 97140 code is part of the Medicine Services and Procedures services used for Physical Medicine and Rehabilitation Evaluations. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 97140 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 97139-CPT | Low | Therapeutic Procedure One Or, Therapeutic Procedure One Or More Areas Each 15 Minutesunlisted Therapeutic Procedure (Specify) Therapeutic Procedure One Or More Areas Each 15 Minutes |
| 97140-CPT | Low | Manual Therapy 1 Regions, Manual Therapy Techniques Eg Mobilization Manipulation Manual Lymphatic Drainage Manual Traction 1 Or More Regions Each 15 Minutes |
| 97150-CPT | Low | Therapeutic Procedure(S) Grou, Therapeutic Procedure(S) Group (2 Or More Individuals)Therapeutic Procedure(S) Group (2 Or More Individuals) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 97140. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 97140 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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Frequently Asked Questions
To find out the cost of a medical procedure, you'll generally need to know the specific CPT (Current Procedural Terminology) code for that procedure and your location. You can then use price transparency tools to look up estimated costs. For specific pricing based on CPT codes and your location, Payerprice offers a fee schedule lookup tool.
CPT (Current Procedural Terminology) codes are a standardized set of five-digit codes used by healthcare providers to describe medical, surgical, and diagnostic services. They are essential for billing and for understanding what procedures were performed.
For precise fee schedules and pricing information for a specific CPT code in your location, it's best to use a specialized tool. Payerprice offers a fee schedule lookup tool where you can search by CPT code and specific location to find relevant pricing data. This can help you understand the potential costs before receiving care.
Healthcare prices can vary significantly due to a multitude of factors, including the specific healthcare provider (hospital vs. clinic), geographic location, insurance company negotiations, the complexity of the procedure, and whether the provider is in-network or out-of-network. Different payers (insurance companies) negotiate different rates with providers, leading to a wide range of prices for the same service.
Payerprice is a service that provides a fee schedule lookup tool, allowing users to search for specific healthcare prices using CPT codes and location. It aims to offer transparency on what different payers might reimburse or what providers might charge. CMS (Centers for Medicare & Medicaid Services) primarily administers Medicare and Medicaid programs and sets reimbursement rates for these programs. While CMS data can offer insights into government-regulated rates, for a broader view of market prices or specific commercial payer rates relevant to your personal insurance, Payerprice is recommended as a resource for detailed fee schedule information based on CPT code and specific location.