What is the cost of physical therapy (with and without insurance)?

If you are living with pain or recovering from an injury, you already know how much it can disrupt daily life. Physical therapy (PT) is one of the most effective ways to get back to normal movement, but for many people, the cost becomes a barrier.

Take Jamal, for example. After spraining his ankle, his doctor recommended physical therapy. His insurance covered part of the cost, but each session still required a copay. By the end of treatment, Jamal had spent nearly $1,200 out of pocket. Without insurance, that number would have been much higher.

Like Jamal, millions of people wonder: how much does physical therapy really cost, and what are my options if I can’t afford it?

The good news is that recovery does not always have to mean expensive clinic visits or big bills. Digital physical therapy programs such as Sword Health make expert-guided care accessible from home, often at no cost through your employer, union, or health plan. Even if you do not currently have insurance yourself, it is worth checking whether a spouse, family member, or partner’s plan already covers Sword as part of their benefits.

How much does physical therapy cost

Physical therapy costs vary depending on where you live, whether you have insurance, and the type of care you choose.

For people paying cash, each visit can cost $50 to $350, depending on location, setting, and therapist experience.¹ The first evaluation is usually more expensive, averaging $150 to $400. A 12-week course of therapy, with two visits per week, might total anywhere from $1,200 in smaller towns to $8,000 or more in major cities.¹

Even for people with insurance, copays and deductibles can make care expensive. If you pay $40 per visit twice a week, that adds up to $960 in copays alone, and that is before you meet your deductible.

What many people do not realize is that the “price of therapy” is not just the clinic bill. It also includes travel, time away from work, and lost wages. These hidden costs make it harder to complete a full treatment plan.

How much does physical therapy cost with insurance

If you have health insurance, your exact cost depends on your plan type, deductible, and copay. Here is what you can expect:

• HMO plans: Usually require an in-network therapist and sometimes a referral. Copays range from $20 to $60 per session, and many plans limit visits to 20–30 per year.² ³
• PPO plans: Offer more flexibility but come with higher deductibles. Copays typically range from $30 to $75, with coinsurance around 20 percent.² ³
• Medicare Part B: Covers 80 percent of the approved amount for medically necessary PT after you meet the deductible. The average out-of-pocket cost is $20 to $40 per session.⁴
• Medicaid: Coverage varies by state. Many states cover PT for certain conditions with small copays or prior authorization.⁵

If you attend therapy twice a week for three months, your total could range from $1,000 to $2,000 depending on your plan, location, and deductible.² ³

Before you pay out of pocket, make sure you check your health plan to see if you already have physical therapy covered. You can check your eligibility now to see if you or your family member's care plan includes Sword Thrive digital therapy and you might be able to get started right away.

How much does physical therapy cost without insurance

Without insurance, you are responsible for the full amount of care. That includes the initial evaluation, each session, and any home exercise tools or follow-up visits.

Typical self-pay rates:

• Per session: $50–$350¹
• Initial evaluation: $150–$400¹
• 12-week plan: $1,200–$8,400¹
• In-home therapy: Often costs more, about $100–$150 per visit¹

While some clinics offer discounts or payment plans, PT can still be expensive without coverage. Before you decide to pay out of pocket, it is smart to check whether you might already qualify for a covered digital PT program like Sword Health through your employer, spouse, or partner’s health plan. Many families do not realize that Sword is often included in their benefits at no additional cost.

If you are covered by a family member’s plan, you may already have access to physical therapy benefits at little or no cost. It is always worth confirming this before paying out of pocket, especially since many employer and union plans include digital physical therapy options like Sword Health's Thrive program.

The hidden costs of traditional physical therapy

Even when insurance covers your visits, in-person PT can come with extra costs that add up:

• Travel: Gas, parking, or rideshare fees over several weeks can total hundreds of dollars.
• Time off work: The average American earns $23.29 per hour. Missing one hour per visit twice a week for 12 weeks equals $560 in lost wages.⁶
• Childcare: Appointments during work hours may require paying for childcare, which averages $15 per hour nationally.⁷
• Equipment: Clinics sometimes charge extra for braces or resistance bands used at home.

The added cost of skipping therapy

Many people skip PT because of the price, but that choice can make recovery longer and more expensive in the long run.

Pain left untreated can become chronic, affecting mobility, mood, and sleep. Research shows that people who begin PT within three days of back pain have 44 percent lower total healthcare costs, 53 percent lower chance of surgery, and 55 percent lower risk of opioid use than those who wait weeks to start.⁸

Skipping care now can lead to higher medical costs later. If cost feels like a barrier, exploring covered digital PT options through your family or workplace plan can help you get care faster.

When you add up these costs, the total “price” of in-person therapy can be far more than your copay or session fee.

Digital physical therapy gives you 24/7 access to care from home

Digital physical therapy delivers the same expert guidance as clinic-based care, but from home. Digital physical therapy options are more widely available now and programs like Sword Thrive give you 24/7 access to a personalized care plan that you can work on from the comfort of home. This removes so much of these hidden costs as you get access to a supporting physical therapist and the technology to recover at any time and place that suits you.

With Sword Health, you receive:

• A personalized plan created by a licensed Doctor of Physical Therapy
• Real-time motion feedback using sensors and AI technology
• Continuous support from your PT through in-app messaging and video sessions
• Unlimited sessions whenever it fits your schedule

Sword members have 81 percent completion rates, compared with 30 to 50 percent in traditional clinic-based PT.⁹ ¹⁰ That means more people finish care, recover faster, and avoid unnecessary procedures. Often, members with Sword coverage have no additional costs, so care is at $0 to the individual. This is a massive saving consider the average costs of a traditional PT treatment plans of $1,200–$2,500¹ (and the additional costs of travelling to a clinic and taking time off work to attend an appointment). Sword has also been clinically-proven to deliver at least equal or better health outcomes than traditional physical therapy.⁹ ¹⁰

What to do if you don’t have insurance

If you are uninsured or underinsured, there are still ways to access physical therapy affordably:

• Check with your employer or union: many partner with digital MSK providers such as Sword
• Ask about your spouse’s or family member’s coverage: you might already be listed as a dependent on a plan that includes Sword at no cost
• Look for community or university clinics: some offer lower-cost sessions with licensed PTs or supervised students
• Use HSA or FSA funds: these accounts let you pay for care using pre-tax dollars
• Ask about payment plans or cash discounts: many clinics will work with you on a budget-friendly arrangement

Start your recovery from home

You should not have to live with pain, and you should not have to pay thousands to fix it. Sword Health’s digital physical therapy program connects you with licensed clinicians and uses smart AI technology to guide every movement.

If your employer, union, or a family member’s health plan already includes Sword, you can start your recovery at home today for no out-of-pocket cost. Before paying full price for therapy, always check your eligibility now to see if you or a dependent family member already have coverage. It only takes a few minutes, and for many families, it unlocks expert care at home for $0 out of pocket.