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Physical Medicine & Rehabilitation reimbursement rates by service line

Compare payer-published physical medicine & rehabilitation benchmarks for office visits; timed therapy; electrodiagnostics; injections; facility visits.

1,315,814 provider-rate observations4 payers in source data50 states represented20 billing codes
Rate data shownJun–Jul 2026About these rates
Physical Medicine & Rehabilitation rate explorerThree reference services
Rate measure$ per reported billing unit
Billing contextProfessional

Compare national physical medicine & rehabilitation rates by payer

Use the reference codes to compare payer benchmarks, then explore office visits; timed therapy; electrodiagnostics; injections; facility visits. Each rate represents a specific billing code and comparison cohort, rather than a complete episode of care.

Aetna state variation for 99214

LowerHigher
Alaska: $210.11 Aetna reference averageAKAlabama: $88.86 Aetna reference averageALArkansas: $104.48 Aetna reference averageARArizona: $93.69 Aetna reference averageAZCalifornia: $120.72 Aetna reference averageCAColorado: $134.51 Aetna reference averageCOConnecticut: $126.03 Aetna reference averageCTDistrict of Columbia: No preview availableDCDelaware: $118.91 Aetna reference averageDEFlorida: $97.10 Aetna reference averageFLGeorgia: $122.11 Aetna reference averageGAHawaiiHIIowa: $106.53 Aetna reference averageIAIdaho: $131.23 Aetna reference averageIDIllinois: $104.10 Aetna reference averageILIndiana: $90.84 Aetna reference averageINKansas: $99.63 Aetna reference averageKSKentucky: $101.81 Aetna reference averageKYLouisiana: $102.31 Aetna reference averageLAMassachusetts: $146.78 Aetna reference averageMAMaryland: $110.66 Aetna reference averageMDMaine: $111.19 Aetna reference averageMEMichigan: $106.38 Aetna reference averageMIMinnesota: $91.44 Aetna reference averageMNMissouri: $99.33 Aetna reference averageMOMississippi: $96.79 Aetna reference averageMSMontanaMTNorth Carolina: $135.05 Aetna reference averageNCNorth Dakota: $103.55 Aetna reference averageNDNebraska: $147.86 Aetna reference averageNENew Hampshire: $112.45 Aetna reference averageNHNew Jersey: $91.23 Aetna reference averageNJNew Mexico: $116.42 Aetna reference averageNMNevada: $113.02 Aetna reference averageNVNew York: $120.91 Aetna reference averageNYOhio: $127.35 Aetna reference averageOHOklahoma: $115.46 Aetna reference averageOKOregon: $187.71 Aetna reference averageORPennsylvania: $120.92 Aetna reference averagePARhode Island: $114.09 Aetna reference averageRISouth Carolina: $93.08 Aetna reference averageSCSouth Dakota: $130.58 Aetna reference averageSDTennessee: $131.55 Aetna reference averageTNTexas: $115.44 Aetna reference averageTXUtah: $98.73 Aetna reference averageUTVirginia: $105.65 Aetna reference averageVAVermont: $15.70 Aetna reference averageVTWashington: $179.42 Aetna reference averageWAWisconsin: $126.03 Aetna reference averageWIWest Virginia: $95.36 Aetna reference averageWVWyomingWY
National
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National 99214 rate distribution

Payer
Published rate$ per reported billing unit
$80$100$120$140$160
Median
AetnaJun–Jul 2026
AetnaProviders18,665Average$113.79
$100.04median
CignaJun–Jul 2026
CignaProviders16,442Average$146.59
$122.85median
UnitedJun–Jul 2026
UnitedProviders17,884Average$155.14
$129.91median
AnthemJun–Jul 2026
AnthemProviders13,971Average$146.28
$124.69median

Each marker shows the national median published rate across billing entities for that payer.

National 99214 rates by payer

$ per reported billing unit
PayerRate periodProvider entitiesP25MedianP75P90Average
AetnaJun–Jul 202618,665$100.04$113.79
CignaJun–Jul 202616,442$122.85$146.59
UnitedJun–Jul 202617,884$129.91$155.14
AnthemJun–Jul 202613,971$124.69$146.28
About these rates

How do specific physical medicine & rehabilitation providers compare?

Compare named provider rates with the selected payer's median and percentile distribution.

National: Physical Medicine & Rehabilitation provider benchmarks (CPT 99214)

6 provider examples
Provider entityStateSize$ per serviceGap to medianPosition in Aetna range
HACKENSACK MERIDIAN HEALTH MEDICAL GROUP-SPECIALTY CARE PCNPI 1003910571 · Tax ID 223376459NJ4,304$54.75-$45.29
Below P25
HARRIS PHYSIATRY PLLCNPI 1003637190 · Tax ID 851422521KY2$83.28-$16.76
Below P25
ASHLEY KUZMA THERAPEUTICS PCNPI 1245996891 · Tax ID 043679424PA10$92.65-$7.39
P25 to median
JAMES D WEISS MD PLLCNPI 1356823439 · Tax ID 830867214TX2$98.85-$1.19
P25 to median
CHILDRENS HOSPITAL OF ALABAMANPI 1295922425 · Tax ID 630307306OH580
Median to P75
VANDERBILT UNIVERSITY MEDICAL CENTERNPI 1013448042 · Tax ID 352528741TN6,744
Above P75
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Explore physical medicine & rehabilitation services

Compare codes within the same billing context. A reported billing unit may describe a timed service, supply quantity, daily service or procedure; it does not always mean one visit.

GeographyNational
Display
Service line / billing codeAetnaCignaUnitedAnthem
$ per reported billing unit · 7 codes
99214Established patient office visit, level 4
$113.79$146.59$155.14$146.28
99213Established patient office visit, level 3
$77.71$100.17$107.17$103.59
99232Subsequent hospital inpatient or observation care, level 2
$82.91$104.76$102.56$104.68
99204New patient office visit, level 4
$165.05$209.73$229.66$218.63
99233Subsequent hospital inpatient or observation care, level 3
$113.39$153.40$148.49$151.92
99223Initial hospital inpatient or observation care, level 3
$199.17$260.85$273.29$269.82
99203New patient office visit, level 3
$106.13$135.08$151.49$144.16
$ per reported billing unit · 4 codes
97110Therapeutic procedure, one or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility
$26.85$37.72$35.80$63.63
97112Muscle Or Nerve Training
$29.70$41.87$40.13$67.08
97140Manual Therapy 1 Regions
$26.43$35.12$33.09$62.19
97530Activity Therapy
$32.27$45.41$43.93$70.03
$ per reported billing unit · 2 codes
99309Subsequent nursing facility care, level 3
$99.35$137.21$129.86$138.98
99308Subsequent nursing facility care, level 2
$73.02$99.36$96.24$101.82
$ per reported billing unit · 6 codes
64483Lumbar or sacral transforaminal epidural injection, single level
$242.11$306.58$409.50$286.85
92507Treatment Of Speech Language
$76.19$116.29$117.01$116.50
64493Lumbar or sacral facet joint injection, single level
$178.69$234.55$302.02$223.59
95886Complete needle EMG with nerve conduction study
$120.08$148.22$145.95$162.88
98941Chiropractic manipulative treatment, 3 to 4 spinal regions
$32.98$46.99$49.75$50.01
64635Lumbar or sacral facet joint nerve destruction, single level
$426.26$546.84$716.72$552.08
$ per reported billing unit · 1 code
80307Presumptive drug testing by instrumented chemistry analysis
$61.44$89.82$46.16$75.88
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How to interpret these benchmarks

Payer-published rates provide market context. They do not establish a practice's contracted rate or the total cost of care.

  • Source and periodRates come from the specialty's national report. The displayed period follows the processed data included in the latest published snapshot and updates when that snapshot is refreshed.
  • Comparable ratesComparisons use positive professional fee-for-service negotiated and fee-schedule dollar amounts. Percentages, bundled arrangements and per-diem rate types are excluded. Modifier cohorts and code-specific amounts remain separate.
  • CalculationRates are reduced to one modal value per NPI and TIN entity, averaging tied modes. Two percent per tail is targeted for trimming while keeping boundary ties. Benchmarks require at least 10 included entities and are not weighted by patient volume.
  • CoverageNational report coverage does not guarantee every payer or state is available for every code. Anthem represents the displayed Anthem cohort, rather than all regional Blue plans. Missing benchmarks are not zero rates.
  • Billing contextMatch the exact code, billing unit, modifier, setting and network. Equipment rentals and supplies require their own interval and quantity checks. Professional rates exclude facility charges; anesthesia conversion factors are outside these comparisons.

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Explore physical medicine & rehabilitation rates by state

Choose a state to compare payer reference averages for common services.

Questions about physical medicine & rehabilitation benchmarks

How to interpret the selected market and payer-published rates.

What does the national benchmark compare?

The headline uses Established patient office visit, level 4 (99214). The other reference codes and service lines provide separate comparisons rather than combining unlike services.

Why is a payer or state missing?

A benchmark appears only when the selected code and cohort meet the publication rules, including at least 10 entities after trimming. Report-wide coverage can be broader than an individual comparison.

Will the reporting period change?

Yes. The period displayed with the benchmark follows the processed source data when the publication snapshot is refreshed.