# CPT 96130: Psychological testing evaluation services, first hour

Medicare CPT 96130 pays $123.92 in a non-facility setting and $99.53 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $117.47 in Arkansas to $167.62 in Alaska, a 43% spread.

Web page: https://www.med-reveal.com/rates/96130-cpt-fee-schedule
Section: Behavioral Health
Billed by: Child & Adolescent Psychiatry, Clinical Neuropsychologist, Counselor, Marriage & Family Therapist, Psychiatry & Neurology, Psychoanalyst

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $123.92 |
| National facility | $99.53 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $167.62 | $141.65 |
| District of Columbia | $135.18 | $106.45 |
| New York | $133.14 | $105.94 |
| New Jersey | $133.03 | $105.58 |
| California | $132.10 | $103.24 |
| Washington | $130.94 | $103.14 |
| Massachusetts | $130.26 | $102.87 |
| Connecticut | $128.98 | $102.72 |
| Hawaii | $127.50 | $99.78 |
| Florida | $126.88 | $102.42 |
| Maryland | $126.77 | $101.35 |
| Colorado | $126.55 | $100.61 |
| Rhode Island | $126.39 | $101.20 |
| Illinois | $125.76 | $102.20 |
| Oregon | $125.67 | $99.98 |
| New Hampshire | $124.99 | $99.61 |
| Puerto Rico | $124.26 | $99.61 |
| Virgin Islands | $124.26 | $99.61 |
| Pennsylvania | $124.17 | $100.29 |
| Montana | $123.91 | $99.53 |
| Texas | $123.63 | $99.62 |
| Delaware | $123.62 | $99.53 |
| Nevada | $123.45 | $99.04 |
| Wyoming | $123.14 | $98.75 |
| Georgia | $123.01 | $99.75 |
| Michigan | $122.98 | $100.09 |
| Minnesota | $122.83 | $97.74 |
| Virginia | $122.43 | $98.46 |
| Arizona | $122.39 | $98.76 |
| North Dakota | $122.13 | $97.75 |
| Vermont | $122.08 | $97.94 |
| South Dakota | $121.92 | $97.54 |
| New Mexico | $121.58 | $99.22 |
| Utah | $121.49 | $98.57 |
| Maine | $121.22 | $97.93 |
| Louisiana | $120.98 | $98.72 |
| Missouri | $120.95 | $98.58 |
| Ohio | $120.86 | $98.60 |
| South Carolina | $120.78 | $98.25 |
| West Virginia | $120.57 | $99.39 |
| North Carolina | $120.46 | $97.71 |
| Wisconsin | $120.35 | $96.99 |
| Indiana | $119.79 | $97.18 |
| Kentucky | $119.73 | $98.06 |
| Idaho | $119.50 | $97.07 |
| Oklahoma | $119.46 | $97.68 |
| Nebraska | $119.32 | $96.82 |
| Tennessee | $119.30 | $97.14 |
| Iowa | $119.10 | $96.79 |
| Kansas | $119.03 | $96.99 |
| Mississippi | $118.21 | $97.22 |
| Alabama | $118.19 | $96.85 |
| Arkansas | $117.47 | $96.52 |

## 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
- 96113: Developmental test administration, each additional 30 minutes (add-on) — https://www.med-reveal.com/rates/96113-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 96130 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