The basics of the tariff system in physiotherapy in Switzerland: everything you need to know

As a physiotherapist practicing in Switzerland, understanding the tariff system is essential to manage your practice efficiently and in compliance with regulations. From setting prices to tariff agreements, the complex concept of tariff points, and cost neutrality – there are many details to grasp. In this article, you’ll discover the key foundations to master these important aspects of your profession quickly and confidently.

 

How does the tariff system for physiotherapy work in Switzerland?

The pricing of physiotherapy services in Switzerland is governed by the Swiss Federal Law on Compulsory Health Care (KVG). It’s important to clearly understand the mechanisms that determine how your services are reimbursed.

 

Who sets the tariffs for physiotherapy services?

According to Article 43 of the KVG, you cannot freely set the prices for your services. They are defined through tariff agreements negotiated between professional associations such as Physioswiss, health insurers (e.g., santésuisse and curafutura), and cantonal or federal authorities depending on the case.

 

What is a tariff point and how is it used?

A tariff point is the basic unit used to calculate the cost of a service. These points standardize how services are valued. Each physiotherapy service is assigned a specific number of tariff points.

For example, a general individual physiotherapy session corresponds to 48 points, while a complex session may reach 77 points.

These points are then multiplied by the “tariff point value,” which is defined in the applicable tariff agreement, to calculate the final price of the treatment. This value may vary depending on the canton.

 

For instance, for an individual session with 48 tariff points and a point value of CHF 1.11 (such as in Geneva):

48 points x CHF 1.11 = CHF 53.28 per session

 

To learn more about tariff codes, check out our article on the tariff browser in physiotherapy for easy application of KVG rates.

 

What does cost neutrality in physiotherapy mean?

This is a term often associated with tariff discussions in physiotherapy. The principle of cost neutrality (Article 59c of the Ordinance on Health Insurance – KVV) states that when a new tariff structure is introduced or revised, the total reimbursed cost of treatments must not increase.

In other words, if the tariff point value rises for some services, it must decrease proportionally for others – unless newly approved services are introduced and validated by the ELGK.

 

Structure and components of the physiotherapy tariff system in Switzerland

The tariff structure defines which services are reimbursed and how they are applied in practice. Here’s what you should know.

 

What is the tariff structure and what is its purpose?

The tariff structure is a framework that lists and describes all reimbursable physiotherapy services.

This includes:

 

• Individual sessions
• Group therapy
• Interprofessional exchanges
• Development of therapeutic programs

 

This structure ensures consistency and transparency in service billing.

The specific services covered by basic health insurance are defined in the Health Insurance Benefits Ordinance (KLV/HIBO).

 

Why should you use a software to manage tariffs?

As you’ll see in our article about understanding and applying tariffs in physiotherapy, many factors influence proper billing.

That’s why we recommend using medical software to support this process. Moreover, with the new agreement for UVG/MV/IV (accident, military, disability insurance) taking effect on July 1, 2025, make sure your software is up to date.

 

You’re now ready to master the physiotherapy tariff system

Understanding Switzerland’s tariff system is essential to ensure the efficient and compliant operation of your physiotherapy practice. By knowing how tariffs are set, how tariff points work, and how the structure is organized, you’ll be able to bill your services correctly. To simplify this process even further, consider using a digital solution specifically designed for physiotherapists in Switzerland or check our dedicated FAQ.