# CPT 96131: Psychological testing evaluation services, each additional hour (add-on)

Medicare CPT 96131 pays $86.51 in a non-facility setting and $70.14 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $83.43 in Arkansas to $120.44 in Alaska, a 44% spread.

Web page: https://www.med-reveal.com/rates/96131-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 | $86.51 |
| National facility | $70.14 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $120.44 | $103.01 |
| District of Columbia | $93.77 | $74.49 |
| New Jersey | $92.52 | $74.09 |
| California | $92.50 | $73.13 |
| New York | $92.12 | $73.87 |
| Washington | $91.40 | $72.74 |
| Massachusetts | $90.88 | $72.49 |
| Connecticut | $89.48 | $71.86 |
| Hawaii | $89.20 | $70.60 |
| Colorado | $88.55 | $71.13 |
| Rhode Island | $88.40 | $71.49 |
| Maryland | $88.27 | $71.21 |
| Oregon | $88.05 | $70.81 |
| New Hampshire | $87.32 | $70.28 |
| Florida | $86.90 | $70.47 |
| Minnesota | $86.87 | $70.03 |
| Puerto Rico | $86.73 | $70.18 |
| Virgin Islands | $86.73 | $70.18 |
| Pennsylvania | $86.70 | $70.66 |
| Delaware | $86.55 | $70.38 |
| Texas | $86.52 | $70.41 |
| Montana | $86.51 | $70.14 |
| Nevada | $86.47 | $70.09 |
| Wyoming | $86.42 | $70.06 |
| Illinois | $86.34 | $70.53 |
| North Dakota | $86.31 | $69.94 |
| South Dakota | $86.29 | $69.92 |
| Vermont | $86.14 | $69.93 |
| Virginia | $86.06 | $69.97 |
| Arizona | $85.82 | $69.96 |
| Georgia | $85.72 | $70.10 |
| Maine | $85.47 | $69.83 |
| Wisconsin | $85.41 | $69.73 |
| Michigan | $85.38 | $70.02 |
| Utah | $85.23 | $69.85 |
| North Carolina | $85.00 | $69.73 |
| South Carolina | $84.88 | $69.76 |
| New Mexico | $84.86 | $69.85 |
| Indiana | $84.82 | $69.65 |
| Missouri | $84.80 | $69.78 |
| Louisiana | $84.72 | $69.78 |
| Nebraska | $84.71 | $69.60 |
| Ohio | $84.71 | $69.77 |
| Idaho | $84.68 | $69.62 |
| Iowa | $84.55 | $69.57 |
| Tennessee | $84.47 | $69.59 |
| Kansas | $84.35 | $69.56 |
| Oklahoma | $84.22 | $69.60 |
| Kentucky | $84.18 | $69.63 |
| West Virginia | $83.94 | $69.72 |
| Alabama | $83.77 | $69.45 |
| Mississippi | $83.54 | $69.45 |
| Arkansas | $83.43 | $69.37 |

## 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
- 96130: Psychological testing evaluation services, first hour — https://www.med-reveal.com/rates/96130-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 96131 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