# CPT 96171: Health Behavior Ivntj Fam w/o Pt F2f Ea Addl 15

Medicare CPT 96171 pays $27.05 in a non-facility setting and $23.05 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $25.44 in Arkansas to $36.14 in Alaska, a 42% spread.

Web page: https://www.med-reveal.com/rates/96171-cpt-fee-schedule
Section: Medical and Therapeutic Services
Billed by: Clinical Neuropsychologist, Counselor, Marriage & Family Therapist, Psychiatry & Neurology

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $27.05 |
| National facility | $23.05 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $36.14 | $31.88 |
| District of Columbia | $29.57 | $24.85 |
| New York | $29.20 | $24.73 |
| New Jersey | $29.08 | $24.56 |
| California | $28.71 | $23.97 |
| Washington | $28.53 | $23.96 |
| Massachusetts | $28.40 | $23.90 |
| Connecticut | $28.24 | $23.93 |
| Florida | $28.03 | $24.01 |
| Illinois | $27.76 | $23.89 |
| Hawaii | $27.73 | $23.17 |
| Maryland | $27.71 | $23.53 |
| Colorado | $27.56 | $23.30 |
| Rhode Island | $27.55 | $23.41 |
| Oregon | $27.36 | $23.13 |
| New Hampshire | $27.26 | $23.09 |
| Puerto Rico | $27.13 | $23.08 |
| Virgin Islands | $27.13 | $23.08 |
| Pennsylvania | $27.12 | $23.20 |
| Montana | $27.05 | $23.04 |
| Michigan | $26.98 | $23.21 |
| Texas | $26.96 | $23.01 |
| Delaware | $26.95 | $22.99 |
| Georgia | $26.91 | $23.09 |
| Nevada | $26.90 | $22.88 |
| Wyoming | $26.79 | $22.79 |
| Arizona | $26.66 | $22.78 |
| Virginia | $26.62 | $22.68 |
| New Mexico | $26.59 | $22.92 |
| Minnesota | $26.58 | $22.46 |
| Vermont | $26.48 | $22.51 |
| Utah | $26.47 | $22.70 |
| North Dakota | $26.46 | $22.45 |
| West Virginia | $26.44 | $22.95 |
| Louisiana | $26.41 | $22.74 |
| South Dakota | $26.39 | $22.38 |
| Missouri | $26.38 | $22.70 |
| Ohio | $26.37 | $22.71 |
| Maine | $26.32 | $22.50 |
| South Carolina | $26.30 | $22.59 |
| North Carolina | $26.16 | $22.42 |
| Kentucky | $26.08 | $22.52 |
| Wisconsin | $26.02 | $22.18 |
| Oklahoma | $25.97 | $22.39 |
| Indiana | $25.95 | $22.24 |
| Idaho | $25.89 | $22.20 |
| Tennessee | $25.86 | $22.22 |
| Nebraska | $25.81 | $22.11 |
| Kansas | $25.79 | $22.16 |
| Iowa | $25.77 | $22.10 |
| Mississippi | $25.68 | $22.23 |
| Alabama | $25.62 | $22.11 |
| Arkansas | $25.44 | $22.00 |

## 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 96171 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