# CPT 97130: Therapeutic interventions for cognitive function, each additional 15 minutes (add-on)

Medicare CPT 97130 pays $21.04 in a non-facility setting and $18.37 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $20.34 in Arkansas to $29.38 in Alaska, a 44% spread.

Web page: https://www.med-reveal.com/rates/97130-cpt-fee-schedule
Section: Rehabilitation and Therapy
Billed by: Clinical Neuropsychologist

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $21.04 |
| National facility | $18.37 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $29.38 | $26.54 |
| District of Columbia | $22.80 | $19.65 |
| California | $22.54 | $19.37 |
| New Jersey | $22.50 | $19.49 |
| New York | $22.38 | $19.40 |
| Washington | $22.25 | $19.20 |
| Massachusetts | $22.12 | $19.12 |
| Connecticut | $21.75 | $18.87 |
| Hawaii | $21.73 | $18.69 |
| Colorado | $21.56 | $18.71 |
| Rhode Island | $21.51 | $18.75 |
| Maryland | $21.46 | $18.68 |
| Oregon | $21.44 | $18.63 |
| New Hampshire | $21.25 | $18.47 |
| Minnesota | $21.19 | $18.44 |
| Puerto Rico | $21.10 | $18.40 |
| Virgin Islands | $21.10 | $18.40 |
| Pennsylvania | $21.09 | $18.47 |
| Delaware | $21.06 | $18.42 |
| Florida | $21.06 | $18.38 |
| Texas | $21.06 | $18.42 |
| Nevada | $21.05 | $18.37 |
| Montana | $21.04 | $18.37 |
| North Dakota | $21.04 | $18.37 |
| South Dakota | $21.04 | $18.37 |
| Wyoming | $21.04 | $18.37 |
| Vermont | $20.99 | $18.35 |
| Virginia | $20.96 | $18.33 |
| Illinois | $20.93 | $18.35 |
| Arizona | $20.89 | $18.30 |
| Georgia | $20.84 | $18.29 |
| Wisconsin | $20.83 | $18.27 |
| Maine | $20.82 | $18.27 |
| Michigan | $20.74 | $18.23 |
| Utah | $20.74 | $18.23 |
| North Carolina | $20.71 | $18.21 |
| Indiana | $20.68 | $18.20 |
| Nebraska | $20.66 | $18.19 |
| South Carolina | $20.66 | $18.19 |
| Idaho | $20.64 | $18.18 |
| Missouri | $20.63 | $18.18 |
| New Mexico | $20.63 | $18.18 |
| Iowa | $20.62 | $18.17 |
| Louisiana | $20.61 | $18.17 |
| Ohio | $20.61 | $18.17 |
| Tennessee | $20.59 | $18.16 |
| Kansas | $20.56 | $18.15 |
| Oklahoma | $20.51 | $18.12 |
| Kentucky | $20.49 | $18.11 |
| Alabama | $20.42 | $18.08 |
| West Virginia | $20.39 | $18.06 |
| Mississippi | $20.35 | $18.05 |
| Arkansas | $20.34 | $18.04 |

## Related codes

- 97110: Therapeutic exercises to develop strength/endurance/range of motion, each 15 minutes — https://www.med-reveal.com/rates/97110-cpt-fee-schedule
- 97116: Gait training therapy, each 15 minutes — https://www.med-reveal.com/rates/97116-cpt-fee-schedule
- 97129: Therapeutic interventions for cognitive function, first 15 minutes — https://www.med-reveal.com/rates/97129-cpt-fee-schedule
- 97150: Therapeutic procedure(s), group, 2 or more individuals — https://www.med-reveal.com/rates/97150-cpt-fee-schedule
- 97545: Work hardening/conditioning, initial 2 hours — https://www.med-reveal.com/rates/97545-cpt-fee-schedule
- 97546: Work hardening/conditioning, each additional hour (add-on) — https://www.med-reveal.com/rates/97546-cpt-fee-schedule

Commercial negotiated rates for 97130 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