CPT 96132

Neuropsychological Tst Eval Phys/Qhp 1st Hour

CPT 96132 pays $122.25 in a non-facility setting and $98.53 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $116.26 in Arkansas to $166.19 in Alaska, a 43% spread.

National non-facility rate

$122.25

Office and other outpatient settings

Facility rate
$98.53

Hospital and ASC settings

Highest state
$166.19

Alaska

Lowest state
$116.26

Arkansas · 43% spread

Medicare rate by state

53 Medicare jurisdictions, highest to lowest. State values average every locality in the jurisdiction at a 33.4009 conversion factor.

Non-facilityFacilityNational $122.25
CPT 96132 Medicare reimbursement rate by state, 33.4009 conversion factor, 2026 Physician Fee Schedule. National non-facility $122.25, national facility $98.53.
StateRate compared visuallyNon-facilityFacility
Alaska
$166.19$140.93
District of Columbia
$133.25$105.32
New Jersey
$131.18$104.48
New York
$131.12$104.66
California
$130.55$102.49
Washington
$129.26$102.23
Massachusetts
$128.57$101.92
Connecticut
$127.10$101.56
Hawaii
$125.98$99.01
Maryland
$125.00$100.28
Colorado
$124.96$99.73
Rhode Island
$124.75$100.26
Florida
$124.58$100.78
Oregon
$124.13$99.14
Illinois
$123.52$100.60
New Hampshire
$123.37$98.68
Puerto Rico
$122.59$98.62
Virgin Islands
$122.59$98.62
Pennsylvania
$122.47$99.24
Montana
$122.24$98.53
Delaware
$122.03$98.60
Texas
$122.02$98.67
Nevada
$121.89$98.15
Wyoming
$121.64$97.92
Minnesota
$121.60$97.20
Georgia
$121.25$98.63
Michigan
$121.10$98.83
Virginia
$120.98$97.66
North Dakota
$120.86$97.14
Arizona
$120.84$97.86
Vermont
$120.75$97.27
South Dakota
$120.69$96.98
Utah
$119.94$97.65
New Mexico
$119.86$98.12
Maine
$119.84$97.18
Missouri
$119.38$97.62
Louisiana
$119.36$97.71
South Carolina
$119.28$97.37
Ohio
$119.27$97.62
Wisconsin
$119.18$96.47
North Carolina
$119.10$96.97
West Virginia
$118.75$98.14
Indiana
$118.53$96.55
Idaho
$118.26$96.45
Kentucky
$118.23$97.15
Nebraska
$118.14$96.26
Oklahoma
$118.04$96.87
Tennessee
$118.03$96.48
Iowa
$117.91$96.21
Kansas
$117.78$96.35
Alabama
$116.93$96.18
Mississippi
$116.86$96.44
Arkansas
$116.26$95.89

Commercial rates for 96132

Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.

See negotiated rates