CPT code 96136: Test administration, physician or QHP, first 30 minutes2026 Medicare rate & RVUs in Utah

In Utah, Medicare pays $42.20 for 96136 in the office and $21.17 when it’s performed in a hospital or facility.

Check a contract rate as a % of Medicare · 96136 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

What 96136 covers

A physician or other qualified health care professional reports this service when personally administering and scoring two or more standardized psychological or neuropsychological tests. Examples include instruments assessing memory, attention, language, executive function, or personality. Psychologists and neuropsychologists commonly perform the work in outpatient offices, hospitals, and other settings where a clinical evaluation is conducted. The service is the test-taking and scoring work, not the later integration of findings into an interpretation and report.

Use 96136 for the first 30 minutes of the professional's administration and scoring time; use 96137 for additional time. The record should identify the tests, who administered and scored them, the time devoted to that work, and the clinical purpose. When a technician performs the administration and scoring, the corresponding codes are 96138 and 96139 instead. Separate psychological or neuropsychological test evaluation may be reported when the clinician also performs that distinct interpretation and reporting work.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

How Utah compares for 96136

Across 109 of 109 payment localities, the office rate for 96136 runs from $39.95 in Arkansas to $56.39 in San Benito County, CA. Utah pays $42.20. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

96136 rates by state

Office rate range in each state. Select a state to see its payment localities.

See 96136 in every payment locality

How the 96136 rate is calculated

Each of 96136’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

Payment rules and modifiers for 96136

96136 has no global surgery period, no multiple-procedure, bilateral or assistant-at-surgery adjustment, and no professional/technical split. What changes the payment is where the service happens: the place of service on the claim decides whether Medicare pays the office or the facility rate.

Codes related to 96136

Related codes aren’t interchangeable: bill the code that matches the service performed.

How 96136 has changed in Utah

Price 96136 for an earlier date of service

Where the Utah rate applies

Utah is a Medicare payment area, not a city. Our Census mapping connects it to 334 cities and communities in Utah. Some span more than one payment area; confirm with the service ZIP.

• Alpine
• Alta
• Altamont
• Alton
• Amalga
• American Fork
• Aneth
• Annabella

Browse all communities in Utah

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Open CMS sourceHow we calculate rates