# CPT 96112: Developmental test administration, first hour

Medicare CPT 96112 pays $125.25 in a non-facility setting and $106.88 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $118.04 in Arkansas to $168.19 in Alaska, a 42% spread.

Web page: https://www.med-reveal.com/rates/96112-cpt-fee-schedule
Section: Behavioral Health
Billed by: Child & Adolescent Psychiatry, Pediatrics

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $125.25 |
| National facility | $106.88 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $168.19 | $148.62 |
| District of Columbia | $136.64 | $115.00 |
| New York | $135.04 | $114.55 |
| New Jersey | $134.46 | $113.78 |
| California | $132.60 | $110.87 |
| Washington | $131.87 | $110.93 |
| Massachusetts | $131.29 | $110.65 |
| Connecticut | $130.65 | $110.86 |
| Florida | $129.80 | $111.37 |
| Illinois | $128.63 | $110.88 |
| Maryland | $128.22 | $109.07 |
| Hawaii | $128.09 | $107.20 |
| Rhode Island | $127.53 | $108.55 |
| Colorado | $127.50 | $107.95 |
| Oregon | $126.52 | $107.17 |
| New Hampshire | $126.11 | $106.98 |
| Pennsylvania | $125.63 | $107.64 |
| Puerto Rico | $125.57 | $107.00 |
| Virgin Islands | $125.57 | $107.00 |
| Montana | $125.24 | $106.87 |
| Michigan | $125.02 | $107.77 |
| Texas | $124.85 | $106.76 |
| Delaware | $124.79 | $106.64 |
| Georgia | $124.69 | $107.17 |
| Nevada | $124.51 | $106.12 |
| Wyoming | $124.04 | $105.67 |
| Arizona | $123.49 | $105.69 |
| New Mexico | $123.28 | $106.44 |
| Virginia | $123.28 | $105.22 |
| Minnesota | $122.98 | $104.08 |
| Utah | $122.67 | $105.40 |
| West Virginia | $122.67 | $106.71 |
| Vermont | $122.59 | $104.41 |
| North Dakota | $122.48 | $104.11 |
| Louisiana | $122.42 | $105.65 |
| Missouri | $122.29 | $105.44 |
| Ohio | $122.24 | $105.47 |
| South Dakota | $122.15 | $103.78 |
| Maine | $121.95 | $104.40 |
| South Carolina | $121.89 | $104.91 |
| North Carolina | $121.22 | $104.08 |
| Kentucky | $120.96 | $104.63 |
| Wisconsin | $120.54 | $102.95 |
| Oklahoma | $120.46 | $104.05 |
| Indiana | $120.29 | $103.26 |
| Idaho | $119.98 | $103.08 |
| Tennessee | $119.90 | $103.20 |
| Nebraska | $119.64 | $102.69 |
| Kansas | $119.57 | $102.96 |
| Iowa | $119.45 | $102.64 |
| Mississippi | $119.16 | $103.34 |
| Alabama | $118.84 | $102.77 |
| Arkansas | $118.04 | $102.26 |

## Related codes

- 96105: Assessment of aphasia, per hour — https://www.med-reveal.com/rates/96105-cpt-fee-schedule
- 96110: Developmental screening, with scoring and documentation — https://www.med-reveal.com/rates/96110-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 96112 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