What this guide is best for
Direct answer: Start here when your question has a state or a city in it rather than a general one.
Best used when: Billed charges vary widely between states; the Medicare allowed amount barely moves.
Testing cost where you live
Key point: Billed charges vary widely between states; the Medicare allowed amount barely moves.
What a good provider should make clear: The state figure read alongside the clinician count, which is the better guide to waiting time.
Common mistake: Assuming a state with few billing clinicians simply has cheaper care. It usually has less supply.
Questions to ask: How long is the wait for an evaluation here, and does that change if I pay cash?
Testing cost where you live
Opening intent: give the state-level published figure first, because that is what a geo query is asking for
- Start: Start here when your question has a state or a city in it rather than a general one.
- Then compare: Billed charges vary widely between states; the Medicare allowed amount barely moves.
- Watch for: Assuming a state with few billing clinicians simply has cheaper care. It usually has less supply.
- Before you book: How long is the wait for an evaluation here, and does that change if I pay cash?
Quick answer
What a neuropsychological evaluation is billed at varies a lot by state. What Medicare allows for it barely varies at all.
That gap is the useful fact. If you are paying cash, the billed column is closer to your starting point, and it moves with geography.
First hour of neuropsychological testing evaluation, by state
Code 96132, office setting, calendar year 2024 Medicare claims.
| Where | Average submitted charge | Average Medicare allowed | Clinicians billing it |
|---|---|---|---|
| National | $317.32 | $124.09 | 6,086 |
| Illinois | $351.34 | $127.22 | 241 |
| Texas | $334.32 | $122.65 | 683 |
| California | $277.75 | $127.08 | 740 |
| New York | $399.45 | $137.98 | 354 |
| Florida | $340.17 | $125.42 | 568 |
| Georgia | $280.58 | $121.25 | 193 |
| Pennsylvania | $339.09 | $122.63 | 242 |
| Ohio | $320.99 | $118.07 | 153 |
| Michigan | $314.48 | $119.09 | 169 |
| Massachusetts | $304.26 | $130.62 | 185 |
Nationally the code was billed at $317.32 and allowed at $124.09, across 6,086 clinicians.
What the clinician count tells you
The right-hand column is supply. A state with few billing clinicians is usually a state with a long wait, not a bargain.
For a geographic search, the wait is often the real constraint. Ask about it before you ask about price.
Counts are Medicare-billing clinicians only. Practices that decline insurance are invisible here, and in some metros they are a large share of capacity.
Reading a state figure honestly
These are averages across a whole state. A large metro and a rural county sit inside the same number.
CMS hides any cell covering fewer than 11 patients, so smaller states may show as not published. We leave those blank rather than filling them.
Questions to ask a local practice
- What is the wait for an evaluation appointment?
- Do you bill insurance, or are you self-pay only?
- What is your rate for the first evaluation hour?
- How many total hours do you typically bill?
Common mistake: choosing a state figure over a local quote. The figure is context; the quote is the price.
Where these numbers come from, and what they are not
Source: Centers for Medicare & Medicaid Services, Medicare Physician & Other Practitioners — by Geography and Service, calendar year 2024 claims (file released 21 May 2026).
Method: we pull the published rows for each billing code, keep the average submitted charge and the average Medicare allowed amount, and print them unchanged. Nothing is modelled, averaged across codes, or adjusted.
- The submitted charge is what clinicians billed. It is list price. Almost nobody pays it.
- The allowed amount is what Medicare permitted, including the patient's coinsurance. It is a negotiated price.
- These are Medicare fee-for-service claims. The patients skew 65 and older.
- If you are paying cash or using commercial insurance, neither figure is your price. Use the gap between them as a bargaining range, not a quote.
- CMS hides any cell covering fewer than 11 patients, so some states are missing. We print "not published" there rather than guessing.
Common mistake: reading the allowed amount as "the real price" and expecting a clinic to match it. It is what one payer pays one set of clinicians.
What to do next
Use the state row as a sanity check on the first quote you receive, then get a second quote locally.
Educational only. Not medical advice. No endorsements or rankings.