# Physical therapy - balance and coordination (15 min): what EmblemHealth pays, by state

Retraining of movement, balance, and coordination with a therapist, billed per 15 minutes.

- Insurer: EmblemHealth
- Billing code: 97112 (Therapy & rehab)
- Price shown: negotiated in-network price, office, doctor's and facility fees
- Prices as of: 2026-08-01
- All of the insurer's plans pooled; the map also shows single networks

| State | Providers | Named in files | Lowest | 25th pct | Median | 75th pct | Highest | Medicare pays | Median vs Medicare |
|---|---|---|---|---|---|---|---|---|---|
| Alabama | 2 | 10 | $33.62 | $33.62 | $33.62 | $33.62 | $33.62 | $30.63 | 1.1x Medicare |
| Arizona | 5 | 14 | $33.62 | $33.62 | $33.62 | $33.62 | $49.76 | $32.20 | about what Medicare pays |
| Arkansas | 1 | 5 | $33.62 | $33.62 | $33.62 | $33.62 | $33.62 | $30.36 | 1.1x Medicare |
| California | 20 | 103 | $33.62 | $33.62 | $33.62 | $33.62 | $49.76 | $36.06 | 0.9x Medicare |
| Colorado | 6 | 16 | $33.62 | $33.62 | $33.62 | $45.73 | $49.76 | $33.86 | about what Medicare pays |
| Connecticut | 5 | 138 | $23.75 | $33.62 | $42.02 | $42.02 | $45.00 | $34.35 | 1.2x Medicare |
| Delaware | 2 | 19 | $33.62 | $34.85 | $36.09 | $37.33 | $38.56 | $32.59 | 1.1x Medicare |
| Florida | 18 | 117 | $33.62 | $33.62 | $33.62 | $33.62 | $49.76 | $33.10 | about what Medicare pays |
| Georgia | 7 | 33 | $33.62 | $33.62 | $33.62 | $41.69 | $49.76 | $32.10 | about what Medicare pays |
| Hawaii | 4 | 9 | $33.62 | $33.62 | $33.62 | $37.65 | $49.76 | $34.74 | about what Medicare pays |
| Illinois | 3 | 37 | $33.62 | $33.62 | $33.62 | $41.69 | $49.76 | $32.57 | about what Medicare pays |
| Indiana | 5 | 20 | $33.62 | $33.62 | $33.62 | $33.62 | $49.76 | $31.42 | 1.1x Medicare |
| Kansas | 1 | 5 | $33.62 | $33.62 | $33.62 | $33.62 | $33.62 | $31.06 | 1.1x Medicare |
| Kentucky | 1 | 8 | $33.62 | $33.62 | $33.62 | $33.62 | $33.62 | $30.96 | 1.1x Medicare |
| Louisiana | 3 | 10 | $33.62 | $33.62 | $33.62 | $33.62 | $33.62 | $31.38 | 1.1x Medicare |
| Maine | 2 | 9 | $33.62 | $33.62 | $33.62 | $33.62 | $33.62 | $31.91 | about what Medicare pays |
| Maryland | 1 | 46 | $33.62 | $33.62 | $33.62 | $33.62 | $33.62 | $33.64 | about what Medicare pays |
| Massachusetts | 5 | 85 | $33.62 | $33.62 | $45.00 | $49.76 | $49.76 | $35.10 | 1.3x Medicare |
| Michigan | 3 | 26 | $33.62 | $33.62 | $33.62 | $33.62 | $33.62 | $31.91 | about what Medicare pays |
| Minnesota | 1 | 75 | $33.62 | $33.62 | $33.62 | $33.62 | $33.62 | $32.95 | about what Medicare pays |
| Missouri | 5 | 14 | $33.62 | $33.62 | $33.62 | $33.62 | $33.62 | $31.44 | 1.1x Medicare |
| Nebraska | 1 | 5 | $33.62 | $33.62 | $33.62 | $33.62 | $33.62 | $31.32 | 1.1x Medicare |
| Nevada | 2 | 6 | $33.62 | $33.62 | $33.62 | $33.62 | $33.62 | $32.69 | about what Medicare pays |
| New Hampshire | 3 | 11 | $33.62 | $33.62 | $33.62 | $33.62 | $33.62 | $33.33 | about what Medicare pays |
| New Jersey | 220 | 4,513 | $33.62 | $49.76 | $49.76 | $49.76 | $49.76 | $35.60 | 1.4x Medicare |
| New Mexico | 2 | 3 | $33.62 | $33.62 | $33.62 | $33.62 | $33.62 | $31.50 | 1.1x Medicare |
| New York | 447 | 6,991 | $7.41 | $38.56 | $49.76 | $49.76 | $185.00 | $35.46 | 1.4x Medicare |
| North Carolina | 11 | 45 | $33.62 | $33.62 | $33.62 | $39.94 | $49.76 | $31.56 | 1.1x Medicare |
| Ohio | 5 | 38 | $23.75 | $33.62 | $33.62 | $33.62 | $33.62 | $31.37 | 1.1x Medicare |
| Oregon | 2 | 7 | $33.62 | $33.62 | $33.62 | $33.62 | $33.62 | $33.61 | about what Medicare pays |
| Pennsylvania | 29 | 254 | $33.62 | $35.77 | $49.76 | $49.76 | $49.76 | $32.59 | 1.5x Medicare |
| Rhode Island | 1 | 8 | $33.62 | $33.62 | $33.62 | $33.62 | $33.62 | $33.53 | about what Medicare pays |
| South Carolina | 3 | 15 | $33.62 | $33.62 | $33.62 | $33.62 | $33.62 | $31.49 | 1.1x Medicare |
| Tennessee | 7 | 20 | $33.62 | $33.62 | $33.62 | $33.62 | $33.62 | $31.15 | 1.1x Medicare |
| Texas | 9 | 64 | $7.41 | $33.62 | $33.62 | $33.62 | $49.76 | $32.56 | about what Medicare pays |
| Utah | 1 | 6 | $33.62 | $33.62 | $33.62 | $33.62 | $33.62 | $31.76 | 1.1x Medicare |
| Vermont | 1 | 13 | $33.62 | $33.62 | $33.62 | $33.62 | $33.62 | $32.41 | about what Medicare pays |
| Virginia | 8 | 44 | $33.62 | $33.62 | $33.62 | $33.62 | $38.56 | $32.37 | about what Medicare pays |
| Washington | 2 | 17 | $33.62 | $33.62 | $33.62 | $33.62 | $33.62 | $35.39 | about what Medicare pays |
| Wisconsin | 2 | 12 | $33.62 | $33.62 | $33.62 | $33.62 | $33.62 | $31.84 | 1.1x Medicare |

**“x Medicare”** compares each price with what original Medicare pays a doctor for the same service in the same state under its physician fee schedule (RVU26D, in force from 2026-10-01) — the price for a doctor's own office. Insurers write their contracts as a share of Medicare, so 1.3x means the insurer pays 30% more than Medicare would; Medicare Advantage plans generally pay close to 1.0x. The prices on this map include a **facility fee**, which Medicare pays separately and which is not in its physician price, so the ratio here runs high and is a rough guide only.

EmblemHealth’s files name **12,871 providers** for this procedure; **856** are counted here: the clinicians whose specialty performs it and the practices, clinics and hospitals. Insurers attach their whole fee schedule to every contracted provider, so the rest are clinicians listed at a price for something they never do; counting them would inflate the provider count and pull the typical price towards the fee schedule’s floor.

Prices are what the insurer has agreed to pay, not what you will be billed. This is a statewide summary: prices vary far more between towns and between practices than these medians suggest, and "providers" counts everyone with a contracted price, not only those who perform the procedure.

Map: https://medicalpricetransparency.netlify.app/insurers/emblem/statemap_97112_US.html  
About this insurer's data, and its other procedures: [index.md](index.md)