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CMS October 2026Physician Fee Schedule · Free lookup

CPT 96132 Medicare Fee Schedule 2026

Medicare's 2026 national payment for CPT 96132 is $122.25 in a non-facility setting ($98.53 in a facility), down 2.3% from $125.18 in 2025.

National rate, October 2026
Non-facility
$122.25
Facility
$98.53
vs. 2025
-2.3%
Commercial national avg.
$164.12

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96132
20262025

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Physician Fee Schedule·96132·National·2026, 2025
Current non-facility rate
$122.25▲0.0%
Facility: $98.53
Recent trend
Code description

Nrpsyc Tst Eval Phys Qhp 1st, Neuropsychological Testing Evaluation Services By Physician Or Other Qualified Health Care Professional Including Integration Of Patient Data Interpretation Of Standardized Test Results And Clinical Data Clinical Decision Making Treatment Planning And Report And Interactive Feedback To The Patient Family Member S Or Caregiver S When Performed First Hour

CodeDateStateLocalityCarrierNon-Facility FeeFacility FeeDescription
9613210/2026N/A0000000$122.25$98.53Nrpsyc Tst Eval Phys Qhp 1st, Neuropsychological Testing Evaluation Services By Physician Or Other Qualified Health Care Professional Including Integration Of Patient Data Interpretation Of Standardized Test Results And Clinical Data Clinical Decision Making Treatment Planning And Report And Interactive Feedback To The Patient Family Member S Or Caregiver S When Performed First Hour
961327/2026N/A0000000$122.25$98.53Nrpsyc Tst Eval Phys Qhp 1st, Neuropsychological Testing Evaluation Services By Physician Or Other Qualified Health Care Professional Including Integration Of Patient Data Interpretation Of Standardized Test Results And Clinical Data Clinical Decision Making Treatment Planning And Report And Interactive Feedback To The Patient Family Member S Or Caregiver S When Performed First Hour
961324/2026N/A0000000$122.25$98.53Nrpsyc Tst Eval Phys Qhp 1st, Neuropsychological Testing Evaluation Services By Physician Or Other Qualified Health Care Professional Including Integration Of Patient Data Interpretation Of Standardized Test Results And Clinical Data Clinical Decision Making Treatment Planning And Report And Interactive Feedback To The Patient Family Member S Or Caregiver S When Performed First Hour
961321/2026N/A0000000$122.25$98.53Nrpsyc Tst Eval Phys Qhp 1st, Neuropsychological Testing Evaluation Services By Physician Or Other Qualified Health Care Professional Including Integration Of Patient Data Interpretation Of Standardized Test Results And Clinical Data Clinical Decision Making Treatment Planning And Report And Interactive Feedback To The Patient Family Member S Or Caregiver S When Performed First Hour
9613210/2025N/A0000000$125.18$102.86Nrpsyc Tst Eval Phys Qhp 1st, Neuropsychological Testing Evaluation Services By Physician Or Other Qualified Health Care Professional Including Integration Of Patient Data Interpretation Of Standardized Test Results And Clinical Data Clinical Decision Making Treatment Planning And Report And Interactive Feedback To The Patient Family Member S Or Caregiver S When Performed First Hour
961327/2025N/A0000000$125.18$102.86Nrpsyc Tst Eval Phys Qhp 1st, Neuropsychological Testing Evaluation Services By Physician Or Other Qualified Health Care Professional Including Integration Of Patient Data Interpretation Of Standardized Test Results And Clinical Data Clinical Decision Making Treatment Planning And Report And Interactive Feedback To The Patient Family Member S Or Caregiver S When Performed First Hour
961324/2025N/A0000000$125.18$102.86Nrpsyc Tst Eval Phys Qhp 1st, Neuropsychological Testing Evaluation Services By Physician Or Other Qualified Health Care Professional Including Integration Of Patient Data Interpretation Of Standardized Test Results And Clinical Data Clinical Decision Making Treatment Planning And Report And Interactive Feedback To The Patient Family Member S Or Caregiver S When Performed First Hour
961321/2025N/A0000000$125.18$102.86Nrpsyc Tst Eval Phys Qhp 1st, Neuropsychological Testing Evaluation Services By Physician Or Other Qualified Health Care Professional Including Integration Of Patient Data Interpretation Of Standardized Test Results And Clinical Data Clinical Decision Making Treatment Planning And Report And Interactive Feedback To The Patient Family Member S Or Caregiver S When Performed First Hour

96132 national rate by year

Each row is the latest CMS file published that year. Change is against the year before.

CMS fileNon-facilityFacilityChange
October 2026$122.25$98.53-2.3%
October 2025$125.18$102.86-2.3%
March 2024$128.16$104.52-1.5%
January 2023$130.13$106.07-1.8%
July 2022$132.54$106.93-

This is the national amount before geographic adjustment. Medicare multiplies each relative value unit by its locality's geographic practice cost index, so a practice's own allowed amount can be higher or lower; pick a state above to see its localities. The facility amount applies when the service is performed in a hospital or other facility setting.

96132: Medicare vs. commercial national average

The commercial national average for 96132, the mean of what BCBS, UnitedHealthcare, Aetna and Cigna publish nationwide, is $164.12, 134% of Medicare's $122.25.

  • BCBS $157.90
  • UnitedHealthcare $160.51
  • Aetna $151.25
  • Cigna $186.82

A national average, not a local rate: each payer's figure averages the unmodified, in-network professional rates it publishes for 96132 across the country in its transparency files. Contracted rates vary widely by market, provider and plan. Medicare's figure is its national non-facility amount before geographic adjustment.

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Medicaid comparison

See what state Medicaid programs pay for 96132

50 state Medicaid agencies publish their own physician fee schedule. The 96132 page shows real published rates for several of them free, with effective dates and official sources.

17,674 codes and 974,327 published rates, taken from the files the state agencies publish themselves.