# CPT 96170: Health Behavior Ivntj Fam w/o Pt F2f 1st 30 Min

Medicare CPT 96170 pays $74.82 in a non-facility setting and $63.80 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $70.41 in Arkansas to $100.10 in Alaska, a 42% spread.

Web page: https://www.med-reveal.com/rates/96170-cpt-fee-schedule
Section: Medical and Therapeutic Services
Billed by: Clinical Neuropsychologist, Counselor, Marriage & Family Therapist, Psychiatry & Neurology

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $74.82 |
| National facility | $63.80 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $100.10 | $88.36 |
| District of Columbia | $81.75 | $68.77 |
| New York | $80.70 | $68.41 |
| New Jersey | $80.40 | $67.99 |
| California | $79.43 | $66.39 |
| Washington | $78.92 | $66.35 |
| Massachusetts | $78.55 | $66.16 |
| Connecticut | $78.08 | $66.21 |
| Florida | $77.42 | $66.36 |
| Hawaii | $76.71 | $64.18 |
| Illinois | $76.68 | $66.03 |
| Maryland | $76.61 | $65.13 |
| Colorado | $76.24 | $64.52 |
| Rhode Island | $76.21 | $64.82 |
| Oregon | $75.66 | $64.05 |
| New Hampshire | $75.39 | $63.91 |
| Puerto Rico | $75.02 | $63.88 |
| Virgin Islands | $75.02 | $63.88 |
| Pennsylvania | $75.00 | $64.21 |
| Montana | $74.81 | $63.79 |
| Michigan | $74.56 | $64.21 |
| Texas | $74.56 | $63.71 |
| Delaware | $74.53 | $63.64 |
| Georgia | $74.41 | $63.89 |
| Nevada | $74.39 | $63.36 |
| Wyoming | $74.12 | $63.10 |
| Arizona | $73.75 | $63.07 |
| Virginia | $73.66 | $62.82 |
| Minnesota | $73.58 | $62.23 |
| New Mexico | $73.53 | $63.42 |
| Vermont | $73.28 | $62.37 |
| North Dakota | $73.23 | $62.21 |
| Utah | $73.22 | $62.86 |
| West Virginia | $73.08 | $63.50 |
| South Dakota | $73.04 | $62.02 |
| Louisiana | $73.03 | $62.97 |
| Missouri | $72.96 | $62.85 |
| Ohio | $72.92 | $62.86 |
| Maine | $72.84 | $62.31 |
| South Carolina | $72.74 | $62.56 |
| North Carolina | $72.38 | $62.09 |
| Kentucky | $72.14 | $62.35 |
| Wisconsin | $72.04 | $61.48 |
| Oklahoma | $71.86 | $62.02 |
| Indiana | $71.84 | $61.62 |
| Idaho | $71.65 | $61.51 |
| Tennessee | $71.57 | $61.56 |
| Nebraska | $71.46 | $61.28 |
| Kansas | $71.38 | $61.41 |
| Iowa | $71.33 | $61.25 |
| Mississippi | $71.06 | $61.57 |
| Alabama | $70.90 | $61.26 |
| Arkansas | $70.41 | $60.95 |

## 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 96170 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