go back

Extended Developmental Testing For A Child

Massachusetts rates for HCPCS 96111

A structured assessment of how a child is developing, using standardized tests of movement, language, social skills, self-care and thinking. The clinician administers the tests, scores them against expected milestones, and writes an interpretation and report. It is considerably fuller than a brief screening questionnaire.

Rates data updated July 2026.

How much does Extended Developmental Testing For A Child cost?

$661

Typical physician fee. In Massachusetts, July 2026.

Insurers have agreed to pay about $661 for this service. Most negotiated rates run $661 to $661.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 3 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $537 · 10th to 90th $537 to $537Professionalmedian $661 · 10th to 90th $513 to $661
$500facility $537professional $661

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$537.03
Median
$537.03
Typical High
$537.03
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$660.69
Typical High
$660.69
Cigna
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$346.74
Typical High
$616.60
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$537.03
Median
$537.03
Typical High
$537.03
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$660.69
Typical High
$660.69

Where Massachusetts sits

The same service costs 21.9 times more in Massachusetts than in South Carolina. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Massachusetts· 1st of 44

$661

MA $661SC $30.20

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.