# CPT 96164: Health Behavior Ivntj Group F2f 1st 30 Min

Medicare CPT 96164 pays $11.69 in a non-facility setting and $9.35 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $11.06 in Arkansas to $15.77 in Alaska, a 43% spread.

Web page: https://www.med-reveal.com/rates/96164-cpt-fee-schedule
Section: Medical and Therapeutic Services
Billed by: Clinical Neuropsychologist, Counselor, Marriage & Family Therapist, Psychiatry & Neurology

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $11.69 |
| National facility | $9.35 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $15.77 | $13.28 |
| District of Columbia | $12.76 | $10.00 |
| New York | $12.58 | $9.97 |
| New Jersey | $12.55 | $9.92 |
| California | $12.44 | $9.67 |
| Washington | $12.34 | $9.68 |
| Massachusetts | $12.28 | $9.66 |
| Connecticut | $12.18 | $9.66 |
| Florida | $12.02 | $9.67 |
| Hawaii | $12.01 | $9.35 |
| Maryland | $11.96 | $9.53 |
| Colorado | $11.93 | $9.44 |
| Rhode Island | $11.92 | $9.50 |
| Illinois | $11.91 | $9.65 |
| Oregon | $11.84 | $9.38 |
| New Hampshire | $11.79 | $9.35 |
| Pennsylvania | $11.72 | $9.43 |
| Puerto Rico | $11.72 | $9.36 |
| Virgin Islands | $11.72 | $9.36 |
| Montana | $11.69 | $9.35 |
| Delaware | $11.66 | $9.35 |
| Texas | $11.66 | $9.36 |
| Nevada | $11.64 | $9.30 |
| Michigan | $11.62 | $9.43 |
| Georgia | $11.61 | $9.39 |
| Wyoming | $11.60 | $9.27 |
| Minnesota | $11.55 | $9.15 |
| Arizona | $11.54 | $9.27 |
| Virginia | $11.54 | $9.24 |
| North Dakota | $11.49 | $9.15 |
| Vermont | $11.49 | $9.18 |
| New Mexico | $11.48 | $9.34 |
| South Dakota | $11.47 | $9.13 |
| Utah | $11.46 | $9.26 |
| Louisiana | $11.42 | $9.28 |
| Maine | $11.42 | $9.19 |
| Missouri | $11.41 | $9.26 |
| Ohio | $11.40 | $9.27 |
| West Virginia | $11.40 | $9.36 |
| South Carolina | $11.39 | $9.23 |
| North Carolina | $11.35 | $9.16 |
| Wisconsin | $11.32 | $9.08 |
| Kentucky | $11.29 | $9.21 |
| Indiana | $11.27 | $9.11 |
| Oklahoma | $11.26 | $9.17 |
| Idaho | $11.25 | $9.10 |
| Nebraska | $11.23 | $9.07 |
| Tennessee | $11.23 | $9.11 |
| Iowa | $11.20 | $9.07 |
| Kansas | $11.20 | $9.09 |
| Mississippi | $11.14 | $9.13 |
| Alabama | $11.13 | $9.08 |
| Arkansas | $11.06 | $9.05 |

## 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 96164 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