CPT 99214
Established patient office visit, level 4
- Aetna
- $93.69
- Cigna
- $113.49
- United
- $131
- Anthem
- $184.37
Physical Medicine & Rehabilitation reimbursement rates in Arizona
Explore physical medicine & rehabilitation reimbursement rates in Arizona. Public state reference averages appear below. Detailed payer comparisons are available with a state preview.
1,315,814 national provider-rate observations4 payers in national source data50 states in national dataset20 billing codes in national dataset
Rate data shownJun–Jul 2026About these rates
Physical Medicine & Rehabilitation rate explorerThree reference services
Rate measure$ per reported billing unit
Billing contextProfessional
Arizona physical medicine & rehabilitation reference averages
Publication period: Jun–Jul 2026CPT 95886
Complete needle EMG with nerve conduction study
- Aetna
- $105.74
- Cigna
- $118.76
- United
- $115.40
- Anthem
- $194.72
CPT 97110
Therapeutic procedure, one or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility
- Aetna
- $23.74
- Cigna
- $29.95
- United
- $32.86
- Anthem
- $79.75
National physical medicine & rehabilitation rates by payer
Use the reference codes to compare payer benchmarks, then explore office visits; timed therapy; electrodiagnostics; injections; facility visits. Each rate represents a specific billing code and comparison cohort, rather than a complete episode of care.
Aetna state variation for 99214
LowerHigher
Arizona
Select a state to reveal payer percentiles and provider examples.National 99214 rate distribution
PayerMedian
Published rate$ per reported billing unit
$80$100$120$140$160
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
| Payer | Rate period | Provider entities | P25 | Median | P75 | P90 | Average |
|---|---|---|---|---|---|---|---|
| Aetna | Jun–Jul 2026 | 18,665 | $100.04 | $113.79 | |||
| Cigna | Jun–Jul 2026 | 16,442 | $122.85 | $146.59 | |||
| United | Jun–Jul 2026 | 17,884 | $129.91 | $155.14 | |||
| Anthem | Jun–Jul 2026 | 13,971 | $124.69 | $146.28 |
About these rates
About this rate table
- Source
- Negotiated or fee-schedule amounts published directly by payers in their machine-readable files.
- Rate shown
- Published commercial rate for established patient office visit, level 4 (99214).
- Method
- Eligible rates are grouped by payer and billing entity so the benchmarks use a consistent service and billing basis.
The state map uses one consistent Aetna reference series; it does not average already-aggregated payer values. The service-line table keeps unlike codes, settings, and billing units in separate comparisons.
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)
| Provider entity | State | Size | $ per service | Gap to median | Position in Aetna range |
|---|---|---|---|---|---|
| HACKENSACK MERIDIAN HEALTH MEDICAL GROUP-SPECIALTY CARE PCNPI 1003910571 · Tax ID 223376459 | NJ | 4,304 | $54.75 | -$45.29 | Below P25 |
| HARRIS PHYSIATRY PLLCNPI 1003637190 · Tax ID 851422521 | KY | 2 | $83.28 | -$16.76 | Below P25 |
| ASHLEY KUZMA THERAPEUTICS PCNPI 1245996891 · Tax ID 043679424 | PA | 10 | $92.65 | -$7.39 | P25 to median |
| JAMES D WEISS MD PLLCNPI 1356823439 · Tax ID 830867214 | TX | 2 | $98.85 | -$1.19 | P25 to median |
| CHILDRENS HOSPITAL OF ALABAMANPI 1295922425 · Tax ID 630307306 | OH | 580 | Median to P75 | ||
| VANDERBILT UNIVERSITY MEDICAL CENTERNPI 1013448042 · Tax ID 352528741 | TN | 6,744 | Above P75 |
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No trial or data preparation required.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.
| Service line / billing code | Aetna | Cigna | United | Anthem |
|---|---|---|---|---|
$ 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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Book a 20-min scoping call No trial or data preparation required.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.