# CPT 96165: Health Behavior Ivntj Group F2f Ea Addl 15 Min

Medicare CPT 96165 pays $5.01 in a non-facility setting and $4.01 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $4.82 in Mississippi to $6.93 in Alaska, a 44% spread.

Web page: https://www.med-reveal.com/rates/96165-cpt-fee-schedule
Section: Medical and Therapeutic Services
Billed by: Clinical Neuropsychologist, Counselor, Marriage & Family Therapist, Psychiatry & Neurology

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $5.01 |
| National facility | $4.01 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $6.93 | $5.87 |
| District of Columbia | $5.45 | $4.27 |
| California | $5.39 | $4.20 |
| New Jersey | $5.37 | $4.24 |
| New York | $5.34 | $4.22 |
| Washington | $5.32 | $4.17 |
| Massachusetts | $5.28 | $4.15 |
| Connecticut | $5.19 | $4.11 |
| Hawaii | $5.19 | $4.05 |
| Colorado | $5.14 | $4.07 |
| Maryland | $5.12 | $4.07 |
| Rhode Island | $5.12 | $4.09 |
| Oregon | $5.11 | $4.06 |
| New Hampshire | $5.06 | $4.02 |
| Minnesota | $5.05 | $4.02 |
| Pennsylvania | $5.02 | $4.04 |
| Puerto Rico | $5.02 | $4.01 |
| Virgin Islands | $5.02 | $4.01 |
| Delaware | $5.01 | $4.02 |
| Florida | $5.01 | $4.01 |
| Montana | $5.01 | $4.01 |
| Nevada | $5.01 | $4.01 |
| North Dakota | $5.01 | $4.01 |
| South Dakota | $5.01 | $4.01 |
| Texas | $5.01 | $4.02 |
| Wyoming | $5.01 | $4.01 |
| Vermont | $5.00 | $4.00 |
| Virginia | $4.99 | $4.00 |
| Illinois | $4.98 | $4.01 |
| Arizona | $4.97 | $4.00 |
| Georgia | $4.96 | $4.00 |
| Maine | $4.95 | $4.00 |
| Wisconsin | $4.95 | $3.99 |
| Michigan | $4.93 | $3.99 |
| Utah | $4.93 | $3.99 |
| North Carolina | $4.92 | $3.99 |
| Indiana | $4.91 | $3.98 |
| Nebraska | $4.91 | $3.98 |
| South Carolina | $4.91 | $3.98 |
| Idaho | $4.90 | $3.98 |
| Iowa | $4.90 | $3.98 |
| Missouri | $4.90 | $3.98 |
| New Mexico | $4.90 | $3.98 |
| Louisiana | $4.89 | $3.98 |
| Ohio | $4.89 | $3.98 |
| Tennessee | $4.89 | $3.98 |
| Kansas | $4.88 | $3.98 |
| Oklahoma | $4.87 | $3.97 |
| Kentucky | $4.86 | $3.97 |
| Alabama | $4.84 | $3.97 |
| West Virginia | $4.84 | $3.96 |
| Arkansas | $4.82 | $3.96 |
| Mississippi | $4.82 | $3.96 |

## 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 96165 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