# CPT 96158: Health Behavior Ivntj Indiv F2f 1st 30 Min

Medicare CPT 96158 pays $73.82 in a non-facility setting and $59.79 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $71.11 in Arkansas to $102.56 in Alaska, a 44% spread.

Web page: https://www.med-reveal.com/rates/96158-cpt-fee-schedule
Section: Medical and Therapeutic Services
Billed by: Child & Adolescent Psychiatry, Clinical Neuropsychologist, Counselor, Psychiatry & Neurology

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $73.82 |
| National facility | $59.79 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $102.56 | $87.62 |
| District of Columbia | $80.06 | $63.53 |
| New Jersey | $78.97 | $63.18 |
| California | $78.96 | $62.36 |
| New York | $78.65 | $63.00 |
| Washington | $78.02 | $62.03 |
| Massachusetts | $77.57 | $61.81 |
| Connecticut | $76.38 | $61.28 |
| Hawaii | $76.15 | $60.20 |
| Colorado | $75.56 | $60.64 |
| Rhode Island | $75.43 | $60.94 |
| Maryland | $75.33 | $60.71 |
| Oregon | $75.13 | $60.35 |
| New Hampshire | $74.51 | $59.91 |
| Florida | $74.19 | $60.12 |
| Minnesota | $74.10 | $59.67 |
| Puerto Rico | $74.01 | $59.83 |
| Virgin Islands | $74.01 | $59.83 |
| Pennsylvania | $73.97 | $60.22 |
| Delaware | $73.84 | $59.98 |
| Montana | $73.82 | $59.79 |
| Texas | $73.82 | $60.01 |
| Nevada | $73.78 | $59.74 |
| Wyoming | $73.73 | $59.70 |
| Illinois | $73.71 | $60.15 |
| North Dakota | $73.62 | $59.59 |
| South Dakota | $73.59 | $59.57 |
| Vermont | $73.47 | $59.58 |
| Virginia | $73.41 | $59.62 |
| Arizona | $73.21 | $59.62 |
| Georgia | $73.14 | $59.76 |
| Maine | $72.89 | $59.49 |
| Michigan | $72.85 | $59.68 |
| Wisconsin | $72.83 | $59.39 |
| Utah | $72.70 | $59.51 |
| North Carolina | $72.49 | $59.40 |
| South Carolina | $72.40 | $59.43 |
| New Mexico | $72.39 | $59.52 |
| Indiana | $72.33 | $59.32 |
| Missouri | $72.33 | $59.46 |
| Louisiana | $72.27 | $59.46 |
| Ohio | $72.25 | $59.44 |
| Nebraska | $72.22 | $59.27 |
| Idaho | $72.20 | $59.29 |
| Iowa | $72.08 | $59.25 |
| Tennessee | $72.02 | $59.27 |
| Kansas | $71.92 | $59.24 |
| Oklahoma | $71.81 | $59.28 |
| Kentucky | $71.79 | $59.31 |
| West Virginia | $71.60 | $59.41 |
| Alabama | $71.42 | $59.14 |
| Mississippi | $71.22 | $59.14 |
| Arkansas | $71.11 | $59.06 |

## 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 96158 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