# CPT 96110: Developmental screening, with scoring and documentation

Medicare CPT 96110 pays $12.36 in a non-facility setting and $12.36 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $10.50 in Arkansas to $14.54 in District of Columbia, a 38% spread.

Web page: https://www.med-reveal.com/rates/96110-cpt-fee-schedule
Section: Behavioral Health
Billed by: Child & Adolescent Psychiatry, Pediatrics

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $12.36 |
| National facility | $12.36 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| District of Columbia | $14.54 | $14.54 |
| California | $14.41 | $14.41 |
| Washington | $13.98 | $13.98 |
| New Jersey | $13.90 | $13.90 |
| Hawaii | $13.87 | $13.87 |
| New York | $13.87 | $13.87 |
| Massachusetts | $13.79 | $13.79 |
| Connecticut | $13.35 | $13.35 |
| Colorado | $13.05 | $13.05 |
| Alaska | $12.99 | $12.99 |
| Oregon | $12.91 | $12.91 |
| Maryland | $12.90 | $12.90 |
| New Hampshire | $12.81 | $12.81 |
| Rhode Island | $12.72 | $12.72 |
| Florida | $12.71 | $12.71 |
| Puerto Rico | $12.49 | $12.49 |
| Virgin Islands | $12.49 | $12.49 |
| Minnesota | $12.47 | $12.47 |
| Montana | $12.36 | $12.36 |
| Nevada | $12.31 | $12.31 |
| Wyoming | $12.27 | $12.27 |
| Illinois | $12.26 | $12.26 |
| Delaware | $12.18 | $12.18 |
| North Dakota | $12.16 | $12.16 |
| Texas | $12.15 | $12.15 |
| Pennsylvania | $12.14 | $12.14 |
| South Dakota | $12.14 | $12.14 |
| Vermont | $12.07 | $12.07 |
| Virginia | $12.06 | $12.06 |
| Arizona | $11.94 | $11.94 |
| Georgia | $11.87 | $11.87 |
| Michigan | $11.77 | $11.77 |
| Maine | $11.70 | $11.70 |
| Wisconsin | $11.62 | $11.62 |
| Utah | $11.60 | $11.60 |
| New Mexico | $11.43 | $11.43 |
| North Carolina | $11.43 | $11.43 |
| South Carolina | $11.39 | $11.39 |
| Missouri | $11.36 | $11.36 |
| Louisiana | $11.33 | $11.33 |
| Indiana | $11.31 | $11.31 |
| Ohio | $11.31 | $11.31 |
| Idaho | $11.22 | $11.22 |
| Nebraska | $11.22 | $11.22 |
| Iowa | $11.13 | $11.13 |
| Tennessee | $11.11 | $11.11 |
| Kansas | $11.04 | $11.04 |
| Kentucky | $11.00 | $11.00 |
| Oklahoma | $11.00 | $11.00 |
| West Virginia | $10.93 | $10.93 |
| Alabama | $10.71 | $10.71 |
| Mississippi | $10.60 | $10.60 |
| Arkansas | $10.50 | $10.50 |

## Related codes

- 96105: Assessment of aphasia, per hour — https://www.med-reveal.com/rates/96105-cpt-fee-schedule
- 96112: Developmental test administration, first hour — https://www.med-reveal.com/rates/96112-cpt-fee-schedule
- 96113: Developmental test administration, each additional 30 minutes (add-on) — https://www.med-reveal.com/rates/96113-cpt-fee-schedule
- 96130: Psychological testing evaluation services, first hour — https://www.med-reveal.com/rates/96130-cpt-fee-schedule
- 96131: Psychological testing evaluation services, each additional hour (add-on) — https://www.med-reveal.com/rates/96131-cpt-fee-schedule
- 96136: Psychological/neuropsychological test administration and scoring, first 30 minutes — https://www.med-reveal.com/rates/96136-cpt-fee-schedule
- 96137: Psychological/neuropsychological test administration and scoring, each additional 30 minutes (add-on) — https://www.med-reveal.com/rates/96137-cpt-fee-schedule
- 96138: Psychological/neuropsychological test administration by technician, first 30 minutes — https://www.med-reveal.com/rates/96138-cpt-fee-schedule

Commercial negotiated rates for 96110 by payer and state: https://www.med-reveal.com/solutions/rate-benchmarking

## Sources

- CMS Medicare fee schedules (2026 Q4): https://www.cms.gov/medicare/payment/fee-schedules