Rates and Fees Disclosures
Rev. 01/17/2026
Notes:
2026 Change Summary: Please note we underwent a rate change effective Thursday, 01/01/2026 for insurance patients and effective Monday, 01/19/2026 for all others. Rate charts on this page were updated to reflect the new rates. Our per unit base rates increased slightly from January 2025 rates for assessments, primary, multiple unit, and bundled procedure rates over last year’s rates. The Telehealth new patient assessment was eliminated this year following the federal guideline promulgation allowing only established patients to participate remotely. Senior discount continues in effect for persons 70 years of age and over. Veteran on/off referral rates changed accordingly with CMS rate changes while veteran off-referral discount rates remain unchanged.
Fees are fully payable and due at time of service. Payments accepted in cash, credit/debit card, Cash App Pay, Google Pay, or Apple Pay. We also accept payments from Health Savings Account (HSA) and Flexible Spending Account (FSA) cards. Account programs govern use of these cards. Patient remains responsible for declined HSA/FSA payments.
No-contact payment or partial payments for services can made at time of scheduling by credit/debit card in our online scheduler or when paying by invoice through Stax while in-person payments continue to be processed through Square. Some services require prepayment or partial payment at the time of scheduling and will be processed through Stax. We may be able to file medical claims on your behalf for our services with your health insurance company. Please ask us about this for more information or visit the Insurance pages on our website by choosing the Patients tab above, hover over the Insurance selection, and choose the appropriate option for you.
Cancellation and No-Show Fees:
Patients may cancel their appointment free of charge up to four hours prior to their appointment time with the exception of Urgent Care After Hours. Cancel via our online scheduler, by sending an email or using the contact form on our website, or by calling (603) 622-1112 anytime. The time stamp of the call or message determines whether a cancellation fee applies.
A “late cancellation” occurs when an appointment is cancelled within four hours of the scheduled time. We assess fees for late cancellations based on the length of the visit, whether the patient reschedules at the time of cancellation, and if we can fill the vacated time. The scheduler does not allow patients to late cancel online. Please call (603) 622-1112, send an email to admin@mbmyoskeletal.com, or use the contact form on the Contact Us page.
Late-canceling without rescheduling results in an higher fee as indicated in the table below. Patients may pay the cancellation fee before by invoice or at the time of their next appointment. Access to our scheduler remains available to those who late cancel whether they reschedule or not.
We charge No-Shows the full rate for business lost and not allowing us to fill the appointment time with another person who requires a visit. No-Show patients lose access to the online scheduler until they pay the missed appointment fee. Pay the fee by invoice or in person at our office when we’re available. We no longer accept payments by phone. Please do not leave credit card details in a voicemail message! We will not automatically charge a cancellation fee to a credit card on file.
| Type of Cancellation | Visit Length (mins) | Fee |
|---|---|---|
| Late Cancel w/Reschedule | 30/45/60 | $35.00 |
| Late Cancel w/Reschedule | 75/90/120 | $50.00 |
| Late Cancel w/o Resched | 30/45/60 | $50.00 |
| Late Cancel w/o Resched | 75/90/120 | $75.00 |
| No Show | 30 | $50.00 |
| No Show | 45 | $63.00 |
| No Show | 60 | $83.00 |
| No Show | 75 | $99.00 |
| No Show | 90 | $119.00 |
| No Show | 120 | $150.00 |
| Late Cancel | New Assessment | $50.00 |
| No Show | New Assessment | $125.00 |
MBM Rate Disclosures:
Maximum In-Office Therapeutic Procedure & Evaluation Fees
The following table displays charges for each evaluation procedure and each 15-minute therapeutic procedure unit on a single date of service. Reductions (not displayed) may apply for cash or insurance payments, for performing or conducting multiple units of any procedure (i.e., 30 minutes of procedure 97124 = 2 units), or for performing more than one procedure (bundling) during a visit (i.e., 1 unit of 97124 and 1 unit of 97110). “Max MBM Rate” is our maximum rate for each procedure unit. “CMS Rate” and “NFLC” are the current published maximum in-network (CMS) and out-of-network (Non-Facility Limiting) Medicare reimbursement rates for our area for comparison. Table reflects 2026 rates.
| PROCEDURE CODE | PROCEDURE/SERVICE | Max MBM Rate | CMS | NFLC |
|---|---|---|---|---|
| 97161 | New Pt Assessment | $67.36 | $99.71 | $108.94 |
| 97162 | New Pt Assessment | $82.27 | $99.71 | $108.94 |
| 97163-1 | New Pt Assessment | $101.04 | $99.71 | $108.94 |
| 97163-2 | New Pt Assessment | $112.93 | $99.71 | $108.94 |
| 97163-3 | New Pt Assessment | $135.72 | $99.71 | $108.94 |
| 97164-1 | Estab Pt Assessment | $19.25 | $68.87 | $75.24 |
| 97164-2 | Estab Pt Assessment | $46.02 | $68.87 | $75.24 |
| 97164-3 | Estab Pt Assessment | $77.24 | $68.87 | $75.24 |
| 97164-4 | Estab Pt Assessment | $92.54 | $68.87 | $75.24 |
| 97164-5 | Estab Pt Assessment | $100.56 | $68.87 | $75.24 |
| 95992 | Canalith Repositioning | $46.63 | $41.31 | $45.13 |
| 97110 | MAT Corrective Exercise | $33.82 | $29.58 | $32.31 |
| 97112 | Neuromuscular Retraining | $37.91 | $33.33 | $36.42 |
| 97124 | Remedial Massage | $34.72 | $30.41 | $33.32 |
| 97140 | Myoskeletal Therapy | $36.03 | $28.22 | $30.82 |
| 97530 | MAT Corrective Activity | $40.67 | $35.85 | $39.17 |
For more information about how procedure units are determined, please see our Rate Structure page. When making an appointment in our online scheduler, the cost of your visit is noted in the service and is displayed as a lowest-to-highest range, depending on length of visit and procedures and/or services performed.
See our Physician Consult Rates table at the bottom of this page for patients referred to us for consult and assessment only and not for treatment. After the visit, we will send the patient’s assessment to the referring physician.
Telehealth Rates
| Procedure Code | Procedure | Max MBM Rate |
|---|---|---|
| 97164-2 | Established Patient Assessment/Reassessment by Video Conference | $46.02 |
| 97110 | 15-Min Video MAT Corrective Exercise | $33.82 |
| 97112 | 15-Min Video MAT Neuromuscular Retraining | $37.91 |
| 97110 | 30-Min Video MAT Corrective Exercise | $61.50 |
| 97112 | 30-Min Video MAT Neuromuscular Retraining | $68.66 |
Physician Consult Rates
The following table shows our maximum charges for physician-referred consultations/assessments. A summary is a brief written report highlighting our findings in a few paragraphs without significant explanation. Our full report details the entire assessment over several pages. CMS and many insurance companies no longer pay these codes but rather use the New Patient Evaluation codes above. We continue to use these codes as described to differentiate fees for our own patients and those who are referred for assessment only.
| Procedure | Visit Length | MBM Rate w/Summary | MBM Rate w/Full Report |
|---|---|---|---|
| 99241 | Up to 15 mins | $41.39 | $67.09 |
| 99242 | 16-30 mins | $67.09 | $114.19 |
| 99243 | 31-40 mins | $95.13 | $165.38 |
| 99244 | 41-60 mins | $132.68 | $215.25 |
| 99245 | 61-80 mins | $179.50 | $267.75 |
Miscellaneous Charges
| Service | Time | Fee |
|---|---|---|
| MAT Urgent Care After Hours | Up to 60 mins | $115 |
| MAT UC After Hrs Cancelled due to referral | $35 | |
| Telephone Consult | 5-15 mins | No charge |
| In-Office Consultation | 30 mins | $35 |
| Zoom Consultation | 30 mins | $35 |
| Late Arrival Wait Charge | 5-10 mins | $15 |
| Late Arrival Wait Charge | 11-20 mins | $25 |
| Late Arrival Wait Charge | 21-30 mins | $40 |
| Records Review/Imaging | 5-9 mins | $15 |
| Records Review/Imaging | 10-19 mins | $25 |
| Records Review/Imaging | 20-29 mins | $45 |
| Consult/Training for MAT Practitioners | 30 mins | $40 |
| Consult/Training for MAT Practitioners | 45 mins | $60 |
| Consult/Training for MAT Practitioners | 60 mins | $80 |
| Consult/Training for MAT Practitioners | 90 mins | $120 |