# CPT 96113: Developmental test administration, each additional 30 minutes (add-on)

Medicare CPT 96113 pays $56.11 in a non-facility setting and $45.09 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $53.32 in Arkansas to $76.10 in Alaska, a 43% spread.

Web page: https://www.med-reveal.com/rates/96113-cpt-fee-schedule
Section: Behavioral Health
Billed by: Child & Adolescent Psychiatry, Pediatrics

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $56.11 |
| National facility | $45.09 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $76.10 | $64.36 |
| District of Columbia | $61.23 | $48.25 |
| New Jersey | $60.26 | $47.85 |
| New York | $60.20 | $47.91 |
| California | $60.04 | $47.00 |
| Washington | $59.42 | $46.85 |
| Massachusetts | $59.09 | $46.70 |
| Connecticut | $58.36 | $46.49 |
| Hawaii | $57.93 | $45.40 |
| Colorado | $57.41 | $45.68 |
| Maryland | $57.40 | $45.90 |
| Rhode Island | $57.28 | $45.90 |
| Florida | $57.12 | $46.06 |
| Oregon | $57.02 | $45.41 |
| New Hampshire | $56.66 | $45.19 |
| Illinois | $56.61 | $45.96 |
| Puerto Rico | $56.28 | $45.13 |
| Virgin Islands | $56.28 | $45.13 |
| Pennsylvania | $56.20 | $45.40 |
| Montana | $56.11 | $45.09 |
| Delaware | $56.01 | $45.12 |
| Texas | $56.00 | $45.15 |
| Nevada | $55.96 | $44.93 |
| Minnesota | $55.88 | $44.54 |
| Wyoming | $55.85 | $44.83 |
| Georgia | $55.61 | $45.10 |
| Virginia | $55.54 | $44.71 |
| Michigan | $55.53 | $45.18 |
| North Dakota | $55.52 | $44.50 |
| Arizona | $55.46 | $44.78 |
| South Dakota | $55.45 | $44.43 |
| Vermont | $55.45 | $44.54 |
| Utah | $55.03 | $44.67 |
| Maine | $55.02 | $44.48 |
| New Mexico | $54.96 | $44.85 |
| Missouri | $54.75 | $44.64 |
| Louisiana | $54.74 | $44.67 |
| Wisconsin | $54.73 | $44.17 |
| South Carolina | $54.72 | $44.53 |
| Ohio | $54.70 | $44.63 |
| North Carolina | $54.66 | $44.37 |
| Indiana | $54.40 | $44.19 |
| West Virginia | $54.40 | $44.82 |
| Idaho | $54.28 | $44.14 |
| Nebraska | $54.23 | $44.06 |
| Kentucky | $54.21 | $44.41 |
| Tennessee | $54.16 | $44.14 |
| Oklahoma | $54.14 | $44.30 |
| Iowa | $54.12 | $44.03 |
| Kansas | $54.05 | $44.08 |
| Alabama | $53.63 | $43.99 |
| Mississippi | $53.58 | $44.09 |
| Arkansas | $53.32 | $43.85 |

## 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
- 96112: Developmental test administration, first hour — https://www.med-reveal.com/rates/96112-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 96113 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