CPT 96137 Neuropsychological Testing
Psycl/nrpsyc tst phy/qhp ea Cost
Body System: Nervous
Medicare Facility Rate
$16
CMS PFS CY2026
Medicare Non-Facility Rate
$37
Office/clinic setting
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
0.46
Work RVU
0.03
Facility PE RVU
1.11
Total RVU
Cost by Location
| Location | Medicare Rate | Est. Commercial |
|---|---|---|
| AK — ALASKA | $24 | $60 — $93 |
| AL — ALABAMA | $16 | $45 — $69 |
| AR — ARKANSAS | $16 | $44 — $68 |
| AZ — ARIZONA | $16 | $48 — $73 |
| CA — BAKERSFIELD | $17 | $52 — $79 |
| CA — CHICO | $17 | $52 — $79 |
| CA — EL CENTRO | $17 | $52 — $79 |
| CA — FRESNO | $17 | $52 — $79 |
| CA — HANFORD-CORCORAN | $17 | $52 — $79 |
| CA — LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY) | $17 | $54 — $84 |
| CA — MADERA | $17 | $52 — $79 |
| CA — MERCED | $17 | $52 — $79 |
| CA — MODESTO | $17 | $52 — $79 |
| CA — NAPA | $18 | $59 — $90 |
| CA — OXNARD-THOUSAND OAKS-VENTURA | $17 | $54 — $83 |
| CA — REDDING | $17 | $52 — $79 |
| CA — REST OF CALIFORNIA | $17 | $52 — $79 |
| CA — RIVERSIDE-SAN BERNARDINO-ONTARIO | $17 | $52 — $79 |
| CA — SACRAMENTO-ROSEVILLE-FOLSOM | $17 | $54 — $83 |
| CA — SALINAS | $17 | $54 — $82 |
Frequently Asked Questions
How much does Psycl/nrpsyc tst phy/qhp ea cost?
The Medicare facility rate is $16. Commercial insurance typically pays 150-250% of Medicare rates (varies).
How much does Psycl/nrpsyc tst phy/qhp ea cost without insurance?
Without insurance, you may pay the hospital's chargemaster rate, which is often 300-500% of Medicare. Ask about cash-pay discounts — many facilities offer 20-40% off for self-pay patients. The Medicare baseline for this procedure is $16.