# CPT 96168: Health Behavior Ivntj Fam W/pt F2f Ea Add 15 Min

Medicare CPT 96168 pays $28.39 in a non-facility setting and $22.71 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $27.24 in Arkansas to $39.22 in Alaska, a 44% spread.

Web page: https://www.med-reveal.com/rates/96168-cpt-fee-schedule
Section: Medical and Therapeutic Services
Billed by: Clinical Neuropsychologist, Counselor, Marriage & Family Therapist, Psychiatry & Neurology

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $28.39 |
| National facility | $22.71 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $39.22 | $33.17 |
| District of Columbia | $30.81 | $24.12 |
| New Jersey | $30.39 | $23.99 |
| New York | $30.32 | $23.99 |
| California | $30.28 | $23.56 |
| Washington | $29.97 | $23.50 |
| Massachusetts | $29.81 | $23.43 |
| Connecticut | $29.42 | $23.31 |
| Hawaii | $29.21 | $22.76 |
| Colorado | $29.02 | $22.98 |
| Maryland | $28.99 | $23.07 |
| Rhode Island | $28.99 | $23.12 |
| Oregon | $28.84 | $22.86 |
| Florida | $28.73 | $23.03 |
| New Hampshire | $28.64 | $22.73 |
| Illinois | $28.54 | $23.04 |
| Pennsylvania | $28.46 | $22.90 |
| Puerto Rico | $28.46 | $22.72 |
| Virgin Islands | $28.46 | $22.72 |
| Montana | $28.39 | $22.71 |
| Delaware | $28.38 | $22.77 |
| Texas | $28.37 | $22.78 |
| Minnesota | $28.36 | $22.52 |
| Nevada | $28.34 | $22.66 |
| Wyoming | $28.30 | $22.63 |
| North Dakota | $28.19 | $22.51 |
| Georgia | $28.17 | $22.74 |
| South Dakota | $28.17 | $22.49 |
| Virginia | $28.17 | $22.59 |
| Vermont | $28.16 | $22.53 |
| Arizona | $28.13 | $22.62 |
| Michigan | $28.10 | $22.77 |
| Maine | $27.95 | $22.53 |
| Utah | $27.94 | $22.60 |
| New Mexico | $27.88 | $22.67 |
| Wisconsin | $27.87 | $22.43 |
| Missouri | $27.81 | $22.60 |
| South Carolina | $27.81 | $22.56 |
| Louisiana | $27.80 | $22.61 |
| North Carolina | $27.80 | $22.50 |
| Ohio | $27.78 | $22.60 |
| Indiana | $27.71 | $22.44 |
| Idaho | $27.65 | $22.43 |
| Nebraska | $27.64 | $22.40 |
| West Virginia | $27.62 | $22.68 |
| Tennessee | $27.60 | $22.44 |
| Iowa | $27.59 | $22.40 |
| Kentucky | $27.58 | $22.54 |
| Oklahoma | $27.57 | $22.50 |
| Kansas | $27.55 | $22.42 |
| Alabama | $27.37 | $22.40 |
| Mississippi | $27.33 | $22.44 |
| Arkansas | $27.24 | $22.36 |

## 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 96168 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