Rate Benchmarking
Compare your rates with similar providers.
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonCPT 96136 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Psycl Nrpsyc Tst Phy Qhp 1st, Psychological Or Neuropsychological Test Administration And Scoring By Physician Or Other Qualified Health Care Professional Two Or More Tests Any Method First 30 Minutes
| Key Fact | Detail |
|---|---|
| Service Type | Medicine Services and Procedures Central Nervous System Assessments/Tests (eg, Neuro-Cognitive, Mental Status, Speech Testing) |
| Common Place of Service | 11 - Office |
| Common Modifiers | 59 - Distinct Procedural Service 95 - Telemedicine - audio and video |
| Complexity Level | Low |
| Medicare Fee Schedule | $43.76 national non-facility rate (2026) · View Medicare rates for 96136 |
| Medicaid Fee Schedule | $37.66 median of the 8 states in the free preview · View Medicaid rates for 96136 |
National average reimbursement for CPT 96136 by major payers:
$53.23
$55.71
$52.98
$68.94
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 96136.
CPT 96136
5 of 25 sample ratesHigher to lower in this preview
John Mcdonald
Personal Recovery Network
$124.30Published rateDaniel Gonzalez
Airojen Center Inc / Glaucoma Institute Of Northern New Jersey LLC / Ortho Florida LLC
$58.84Published rateNidhi Mehta
Town Center Orthopaedic Associates, P.C.
$43.76Published rateDenise Reynolds
$42.70Published rateMichelle Heironimus
Addiction Mental Health Services LLC / Hudson Liberty Medical PC / My Guiding Light Counseling PLLC
$38.65Published rate
Get a free rate benchmark for your specialty.
Choose your state and specialty to build a report from payer-published rates.
Use market rates to prepare your payer proposal.
Payer Contract Negotiation
Draft a fee schedule renegotiation letter.
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalCPT 96136 vs. Other Central Nervous System Assessments/Tests (eg, Neuro-Cognitive, Mental Status, Speech Testing) Codes
The CPT 96136 code is part of the Medicine Services and Procedures services used for Central Nervous System Assessments/Tests (eg, Neuro-Cognitive, Mental Status, Speech Testing). It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 96136 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 96136-CPT | Low | Psycl Nrpsyc Tst Phy Qhp 1st, Psychological Or Neuropsychological Test Administration And Scoring By Physician Or Other Qualified Health Care Professional Two Or More Tests Any Method First 30 Minutes |
| 96137-CPT | Low | Psycl Nrpsyc Tst Phy Qhp Ea, Psychological Or Neuropsychological Test Administration And Scoring By Physician Or Other Qualified Health Care Professional Two Or More Tests Any Method Each Additional 30 Minutes List Separately In Addition To Code For Primary Procedure |
| 96138-CPT | Low | Psychological Test 30 Mins, Psychological Test With Physician Interpretation And Report. Standardized Tests Can Be Used To Assess Multiple Facets Of Personality Emotion Intellect And Mental Illness. |
| 96139-CPT | Low | Psychological Or Neuropsycholo, Psychological Or Neuropsychological Test Administration And Scoring By Technician Two Or More Tests Any Method Each Additional 30 Minutes (List Separately In Addition To Code For Primary Procedure) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 96136. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 96136 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
FREE SAMPLE MARKET COMPARISON
Let's review your payer contracts side-by-side with the market.
Bring your top codes (like CPT 96136) and we'll show you how you compare in 15 minutes or less.