# CPT 96121: Neurobehavioral status exam, each additional hour (add-on)

Medicare CPT 96121 pays $75.49 in a non-facility setting and $61.46 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $72.78 in Arkansas to $105.07 in Alaska, a 44% spread.

Web page: https://www.med-reveal.com/rates/96121-cpt-fee-schedule
Section: Behavioral Health
Billed by: Child & Adolescent Psychiatry, Clinical Neuropsychologist, Psychiatry & Neurology

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $75.49 |
| National facility | $61.46 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $105.07 | $90.13 |
| District of Columbia | $81.82 | $65.29 |
| New Jersey | $80.72 | $64.93 |
| California | $80.68 | $64.09 |
| New York | $80.40 | $64.75 |
| Washington | $79.74 | $63.75 |
| Massachusetts | $79.29 | $63.53 |
| Connecticut | $78.09 | $62.98 |
| Hawaii | $77.82 | $61.87 |
| Colorado | $77.25 | $62.33 |
| Rhode Island | $77.13 | $62.64 |
| Maryland | $77.03 | $62.40 |
| Oregon | $76.82 | $62.04 |
| New Hampshire | $76.18 | $61.58 |
| Florida | $75.86 | $61.79 |
| Minnesota | $75.77 | $61.34 |
| Puerto Rico | $75.68 | $61.50 |
| Virgin Islands | $75.68 | $61.50 |
| Pennsylvania | $75.66 | $61.91 |
| Delaware | $75.52 | $61.66 |
| Texas | $75.50 | $61.69 |
| Montana | $75.49 | $61.46 |
| Nevada | $75.45 | $61.41 |
| Wyoming | $75.40 | $61.37 |
| Illinois | $75.38 | $61.83 |
| North Dakota | $75.29 | $61.26 |
| South Dakota | $75.26 | $61.24 |
| Vermont | $75.14 | $61.25 |
| Virginia | $75.08 | $61.29 |
| Arizona | $74.88 | $61.29 |
| Georgia | $74.81 | $61.43 |
| Maine | $74.56 | $61.16 |
| Michigan | $74.52 | $61.35 |
| Wisconsin | $74.50 | $61.06 |
| Utah | $74.37 | $61.18 |
| North Carolina | $74.16 | $61.07 |
| South Carolina | $74.07 | $61.10 |
| New Mexico | $74.06 | $61.19 |
| Indiana | $74.00 | $60.99 |
| Missouri | $74.00 | $61.13 |
| Louisiana | $73.94 | $61.13 |
| Ohio | $73.92 | $61.11 |
| Nebraska | $73.89 | $60.94 |
| Idaho | $73.87 | $60.96 |
| Iowa | $73.75 | $60.92 |
| Tennessee | $73.69 | $60.94 |
| Kansas | $73.59 | $60.91 |
| Oklahoma | $73.48 | $60.95 |
| Kentucky | $73.46 | $60.98 |
| West Virginia | $73.27 | $61.08 |
| Alabama | $73.09 | $60.81 |
| Mississippi | $72.89 | $60.81 |
| Arkansas | $72.78 | $60.73 |

## Related codes

- 96116: Neurobehavioral status exam, first hour — https://www.med-reveal.com/rates/96116-cpt-fee-schedule
- 96125: Standardized cognitive performance testing, with interpretation and report — https://www.med-reveal.com/rates/96125-cpt-fee-schedule
- 96132: Neuropsychological testing evaluation services, first hour — https://www.med-reveal.com/rates/96132-cpt-fee-schedule
- 96133: Neuropsychological testing evaluation services, each additional hour (add-on) — https://www.med-reveal.com/rates/96133-cpt-fee-schedule
- 96146: Psychological/neuropsychological test administration, automated result only — https://www.med-reveal.com/rates/96146-cpt-fee-schedule

Commercial negotiated rates for 96121 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