# CPT 96156: Health Behavior Assessment/re-assessment

Medicare CPT 96156 pays $107.55 in a non-facility setting and $86.84 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $103.46 in Arkansas to $149.07 in Alaska, a 44% spread.

Web page: https://www.med-reveal.com/rates/96156-cpt-fee-schedule
Section: Medical and Therapeutic Services
Billed by: Child & Adolescent Psychiatry, Clinical Neuropsychologist, Counselor, Marriage & Family Therapist, Pediatrics, Psychiatry & Neurology, Social Worker

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $107.55 |
| National facility | $86.84 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $149.07 | $127.01 |
| District of Columbia | $116.71 | $92.32 |
| New Jersey | $115.10 | $91.79 |
| California | $115.02 | $90.51 |
| New York | $114.68 | $91.58 |
| Washington | $113.68 | $90.07 |
| Massachusetts | $113.03 | $89.77 |
| Connecticut | $111.35 | $89.05 |
| Hawaii | $110.93 | $87.38 |
| Colorado | $110.08 | $88.04 |
| Rhode Island | $109.88 | $88.49 |
| Maryland | $109.78 | $88.19 |
| Oregon | $109.44 | $87.62 |
| New Hampshire | $108.56 | $87.01 |
| Florida | $108.27 | $87.49 |
| Minnesota | $107.86 | $86.55 |
| Puerto Rico | $107.83 | $86.90 |
| Virgin Islands | $107.83 | $86.90 |
| Pennsylvania | $107.77 | $87.49 |
| Delaware | $107.56 | $87.10 |
| Montana | $107.55 | $86.84 |
| Illinois | $107.54 | $87.53 |
| Texas | $107.53 | $87.14 |
| Nevada | $107.47 | $86.74 |
| Wyoming | $107.38 | $86.67 |
| North Dakota | $107.15 | $86.45 |
| South Dakota | $107.11 | $86.40 |
| Vermont | $106.95 | $86.45 |
| Virginia | $106.90 | $86.54 |
| Arizona | $106.63 | $86.56 |
| Georgia | $106.57 | $86.82 |
| Michigan | $106.19 | $86.75 |
| Maine | $106.11 | $86.33 |
| Wisconsin | $105.97 | $86.13 |
| Utah | $105.88 | $86.41 |
| North Carolina | $105.52 | $86.20 |
| New Mexico | $105.47 | $86.48 |
| South Carolina | $105.42 | $86.29 |
| Missouri | $105.34 | $86.34 |
| Indiana | $105.26 | $86.06 |
| Louisiana | $105.26 | $86.35 |
| Ohio | $105.23 | $86.32 |
| Nebraska | $105.08 | $85.96 |
| Idaho | $105.06 | $86.01 |
| Iowa | $104.88 | $85.93 |
| Tennessee | $104.81 | $85.99 |
| Kansas | $104.65 | $85.93 |
| Oklahoma | $104.54 | $86.05 |
| Kentucky | $104.53 | $86.12 |
| West Virginia | $104.34 | $86.34 |
| Alabama | $103.92 | $85.80 |
| Mississippi | $103.66 | $85.83 |
| Arkansas | $103.46 | $85.67 |

## Related codes

- 90632: Hepa Vaccine Adult Dose for Intramuscular Use — https://www.med-reveal.com/rates/90632-cpt-fee-schedule
- 90633: Hepa Vaccine 2 Dose Schedule Ped/adolesc Im Use — https://www.med-reveal.com/rates/90633-cpt-fee-schedule
- 90647: Hib Prp-omp Vaccine 3 Dose Schedule Im Use — https://www.med-reveal.com/rates/90647-cpt-fee-schedule
- 90648: Hib Prp-t Vaccine 4 Dose Schedule Im Use — https://www.med-reveal.com/rates/90648-cpt-fee-schedule
- 90680: Rv5 Vaccine 3 Dose Schedule Live for Oral Use — https://www.med-reveal.com/rates/90680-cpt-fee-schedule
- 90681: Rv1 Vaccine 2 Dose Schedule Live for Oral Use — https://www.med-reveal.com/rates/90681-cpt-fee-schedule
- 90698: Dtap-ipv/hib Vaccine for Intramuscular Use — https://www.med-reveal.com/rates/90698-cpt-fee-schedule
- 90710: Measles Mumps Rubella Varicella Vacc Live Subq — https://www.med-reveal.com/rates/90710-cpt-fee-schedule

Commercial negotiated rates for 96156 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