How Much Does Pelvic Health Physiotherapy Cost? Five Systems

There is no official price for pelvic health physiotherapy in any of the five health systems covered on this site, so every confidently stated average price in circulation is either a commercial survey or an aggregation of clinic price lists. That absence is the most useful thing on this page, because it tells you how much weight to put on the number a search result hands you. Below are the figures that do come from governments, regulators and statute, labelled as such, and the ones that do not, labelled as that.

Before I was referred, I rang three clinics to ask what it would cost. I got three different answers, none of them wrong, and not one of the receptionists could tell me how many appointments I would need, which is the only thing that turns a session price into a total. That was the point at which I stopped comparing hourly rates and started asking about courses. This page is written the way I wish that phone call had gone.

Why there is no official price

Because the bodies you would expect to publish one either cannot or do not. The Chartered Society of Physiotherapy states in its own position paper that it has long been advised that competition law prevents the CSP, in line with all other professional bodies, from seeking to negotiate rates for private practitioners¹. That is not evasiveness. It is a professional body explaining why the number you are looking for cannot legally come from it.

The same hole appears elsewhere for less interesting reasons. The American Physical Therapy Association publishes no national fee survey. The Australian Physiotherapy Association publishes no fee guidance. The Irish Society of Chartered Physiotherapists publishes none. Physio First’s benchmarking work in the UK is clinical outcomes benchmarking rather than pricing. So in three of these five systems there is nothing official to quote at all, and this page names the source of every number it gives so you can see which category it falls into.

Two further rules apply throughout. Currencies are never converted into one another here, because an exchange rate dates faster than a fee does. And a cost in a system where treatment is free at the point of use is a different quantity from a cash price, so the two are never averaged together.

United Kingdom

Free on the NHS, and unpriced privately. The NHS states plainly that you can get physiotherapy free on the NHS but there may be a long waiting list, and that in many areas you can reach NHS community musculoskeletal services without a referral from a GP². Pelvic health self-referral specifically is a different and much patchier matter, covered in getting referred to pelvic health physiotherapy.

Privately, no pelvic health specific UK fee survey exists. The nearest published general figures come from the HMDG Private Practice Barometer 2026, an independent commercial survey of more than 700 clinic owners fielded between August and November 2025, of which 336 gave valid fee pairs: a median of £74 for an initial appointment and £63 for a follow-up, ranging from £84.22 for an initial appointment in London to £71.45 in the South East, £60.90 in Scotland, £58.40 in Wales and £54.20 in Northern Ireland. That is a commercial survey and it covers all physiotherapy rather than pelvic health.

This site’s own working range for UK self-pay is roughly £75 to £150 for an initial assessment and £60 to £120 for a follow-up in 2026, with pelvic health at the upper end. It is an aggregation of clinic price lists, not a survey, and it is labelled that way every time it appears.

United States

Under Medicare Part B in 2026 the annual deductible is $283, the standard monthly premium is $202.90 and coinsurance is 20%, with no limit on how much Medicare pays for medically necessary outpatient therapy services in one calendar year³.

The approved amounts behind that percentage are published. Computed from the CMS relevant value unit file for CY2026, national non-facility rates at a geographic index of 1.0 and using this year’s two conversion factors of $33.4009 and $33.5675, a physical therapy evaluation under codes 97161, 97162 or 97163 is $97.86 or $98.35; code 90912, biofeedback of the perineal, rectal or urethral sphincter for the first 15 minutes and the only pelvic floor specific code in the set, is $82.17 or $82.58, with each additional 15 minutes under 90913 at $32.73 or $32.90; therapeutic exercise under 97110 is $29.06 per unit⁴. So a beneficiary’s 20% share is roughly $20 for an initial evaluation and $17 to $18 for a three unit follow-up, once the deductible is met. Services delivered by a physical therapist assistant pay at 85% of those amounts.

One widely repeated claim is simply false. The therapy cap was repealed in 2018 and replaced by two dollar thresholds: $2,480 for CY2026, above which a modifier is required for physical therapy and speech language pathology combined, and a separate $3,000 targeted medical review threshold fixed until 2028, where review is targeted rather than automatic⁴. Neither is a limit on care.

Outside Medicare there is less to say than you would hope. No physical therapy specific national figure exists for commercial insurance; the nearest published averages come from the KFF 2025 Employer Health Benefits Survey of 1,862 firms, which reported a specialist visit copay of $45, coinsurance of 19% and an average single deductible of $1,886, and those are general office visit averages rather than physical therapy. Self-pay cash rates have no authoritative source whatsoever, so any cash range you read is a clinic listing aggregation.

Australia

There is no pelvic health item in the Medicare Benefits Schedule at all. Full text searches of the schedule for continence and pelvic floor return only a gynaecological ultrasound item, a diagnostic procedure and explanatory notes, so pelvic health physiotherapy reaches Medicare only through the generic allied health item 10960: schedule fee A$74.55, benefit at 85% of A$63.40, minimum 20 minutes, with an Extended Medicare Safety Net cap of A$223.65⁵.

The cap is the detail most sources get wrong, and it changes what a reader can plan for. It is a maximum of five allied health services per calendar year, shared across every allied health item in the subgroup, not five physiotherapy sessions. If you have already seen a dietitian and a podiatrist under the plan, those count. The programme itself was renamed on 1 July 2025 and is now a GP Chronic Condition Management Plan, with pre July 2025 GP Management Plans and Team Care Arrangements grandfathered until 30 June 2027, so any page still describing a GPMP and a TCA as current is out of date.

For the private sector there is an official regulator statistic, which is rare in this subject. For the quarter ending March 2026, across 3,244,982 physiotherapy services, A$335,383,007 was charged and A$144,265,822 paid, giving an average fee charged of A$103.35, an average benefit of A$44.46 and an average out-of-pocket cost of A$58.90 per service⁶. Three caveats travel with it every time: it covers extras cover claims only, it covers all physiotherapy rather than pelvic health, and it gives no initial versus subsequent split.

Canada

Provincial insurance largely does not cover outpatient physiotherapy, and the provinces say so in blunt terms. Ontario funds it only for defined groups, including residents of long term care aged 18 and over, people discharged after an overnight hospital stay or day surgery in the last 12 months, Ontario Works and Ontario Disability Support Program recipients, people aged 65 and over and people aged 19 and under, and states that if your situation is not listed the government will not cover your physiotherapy⁷. British Columbia contributes $23 per visit through Medical Services Plan supplementary benefits, up to a combined annual limit of 10 visits per calendar year shared across acupuncture, chiropractic, massage, naturopathy, physical therapy and podiatry together, income tested at an adjusted net income under $42,000, and notes that many practitioners are opted out and may charge more⁸.

For private rates, the only Canadian association fee guidance traceable with a pelvic health line is the Physiotherapy Association of British Columbia Fee Guidelines of February 2025, derived from a provincial market survey conducted in November and December 2023 and explicitly non binding. It quotes pelvic health at $63.00 to $78.00 per 15 minute unit currently, with $64.00 to $81.80 suggested. The same document also states that the current average rate for in person physiotherapy treatment across British Columbia is $98.11 per 30 minutes. Those two statements do not reconcile: a 45 minute pelvic session is roughly CAD $189 to $234 on the per unit rates and about CAD $150 on the 30 minute average. This site quotes both rather than averaging them into a single number that neither source supports.

Ireland

Public physiotherapy is accessed by referral, with a self-referral route also stated, and it is not universally available. Citizens Information says you need a referral from your family doctor, public health nurse or hospital to get physiotherapy as a public patient, immediately followed by the statement that you can also refer yourself, and notes that HSE community physiotherapy is not available in all areas. Medical card and Health Amendment Act card holders may be prioritised for free physiotherapy in the community⁹.

No official Irish private fee figure exists at all. Citizens Information says only that fees for private physiotherapy can vary and that you should contact the physiotherapist directly⁹. The only verifiable numbers are published clinic price lists, which quote €70 for a 30 minute appointment across most Dublin locations, €75 at one central Dublin clinic, €60 in Cork, Galway and Limerick and €40 for a virtual appointment, as a flat rate with no initial versus follow-up split. And one honest gap: whether pelvic health physiotherapy specifically is available in the HSE public system could not be confirmed from any published source, so this site does not assert that it is.

The arithmetic that matters is per course

A session price is close to useless on its own, because the treatment is a course. NICE recommends offering a supervised programme of at least 3 months for stress or mixed urinary incontinence¹⁰ and considering at least 16 weeks for symptomatic stage 1 or 2 prolapse¹¹, with at least one review to assess progress during the programme and one at the end¹⁰.

So the smallest course consistent with the guideline is an assessment plus two reviews. On this site’s aggregated UK self-pay range that is roughly £195 to £390, and a course with four follow-ups rather than two lands nearer £315 to £630. Both of those are arithmetic on an aggregation, and they inherit every weakness of the figures they are built from. In Australia, five subsidised allied health services will not cover a three month programme, so the arithmetic there is five services with a benefit of A$63.40 each and everything after that at the private rate. In British Columbia, ten subsidised visits are shared with five other professions. The guideline minimum and the funding maximum were not designed by the same people, and where they collide the reader pays the difference.

What the money buys

For stress urinary incontinence, the best evidenced outcome in the field: cure in 56% of women against 6% of controls in a Cochrane review, a risk ratio of 8.38 with a 95% confidence interval of 3.68 to 19.07, graded high certainty, though from only 4 trials and 165 women, with cure or improvement at 74% against 11%¹². For prolapse and for men after prostate surgery the returns are considerably more modest, and the honest version of that trade off is in is pelvic health physiotherapy worth it.

Cost is only one of the three access questions, and the other two often matter more. How you get in is covered in getting referred to pelvic health physiotherapy, how long you wait in pelvic health physiotherapy waiting times, and how to check that whoever you pay is actually registered in finding a registered pelvic health physiotherapist. For the treatment itself, see pelvic floor physiotherapy, and if any of the symptoms in red flags and when to stop and get checked apply to you, none of this arithmetic is the next step.