# CPT 96167: Health Behavior Ivntj Fam W/pt F2f 1st 30 Min

Medicare CPT 96167 pays $78.16 in a non-facility setting and $63.13 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $75.36 in Arkansas to $108.78 in Alaska, a 44% spread.

Web page: https://www.med-reveal.com/rates/96167-cpt-fee-schedule
Section: Medical and Therapeutic Services
Billed by: Clinical Neuropsychologist, Counselor, Marriage & Family Therapist, Psychiatry & Neurology

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $78.16 |
| National facility | $63.13 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $108.78 | $92.78 |
| District of Columbia | $84.72 | $67.01 |
| New Jersey | $83.59 | $66.66 |
| California | $83.55 | $65.77 |
| New York | $83.24 | $66.47 |
| Washington | $82.57 | $65.44 |
| Massachusetts | $82.10 | $65.22 |
| Connecticut | $80.85 | $64.66 |
| Hawaii | $80.58 | $63.49 |
| Colorado | $79.99 | $64.00 |
| Rhode Island | $79.86 | $64.34 |
| Maryland | $79.75 | $64.08 |
| Oregon | $79.54 | $63.71 |
| New Hampshire | $78.88 | $63.24 |
| Florida | $78.54 | $63.46 |
| Minnesota | $78.47 | $63.00 |
| Puerto Rico | $78.36 | $63.16 |
| Virgin Islands | $78.36 | $63.16 |
| Pennsylvania | $78.33 | $63.61 |
| Delaware | $78.20 | $63.35 |
| Texas | $78.17 | $63.37 |
| Montana | $78.16 | $63.13 |
| Nevada | $78.12 | $63.08 |
| Wyoming | $78.07 | $63.04 |
| Illinois | $78.04 | $63.52 |
| North Dakota | $77.96 | $62.93 |
| South Dakota | $77.94 | $62.91 |
| Vermont | $77.81 | $62.93 |
| Virginia | $77.74 | $62.97 |
| Arizona | $77.53 | $62.97 |
| Georgia | $77.45 | $63.11 |
| Maine | $77.21 | $62.84 |
| Michigan | $77.15 | $63.04 |
| Wisconsin | $77.14 | $62.74 |
| Utah | $77.00 | $62.87 |
| North Carolina | $76.78 | $62.76 |
| South Carolina | $76.69 | $62.80 |
| New Mexico | $76.67 | $62.89 |
| Indiana | $76.62 | $62.69 |
| Missouri | $76.61 | $62.82 |
| Louisiana | $76.54 | $62.83 |
| Ohio | $76.53 | $62.81 |
| Nebraska | $76.51 | $62.64 |
| Idaho | $76.49 | $62.66 |
| Iowa | $76.37 | $62.61 |
| Tennessee | $76.30 | $62.64 |
| Kansas | $76.20 | $62.61 |
| Oklahoma | $76.08 | $62.66 |
| Kentucky | $76.05 | $62.69 |
| West Virginia | $75.85 | $62.79 |
| Alabama | $75.68 | $62.52 |
| Mississippi | $75.47 | $62.53 |
| Arkansas | $75.36 | $62.45 |

## 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 96167 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