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Extended Developmental Testing For A Child

North Carolina 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 North Carolina, 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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $537 · 10th to 90th $158 to $537Professionalmedian $661 · 10th to 90th $282 to $661
$100$200$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
BCBS
Setting
Facility
Modifier
Global
Typical Low
$158.49
Median
$158.49
Typical High
$158.49
Cigna
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$263.03
Typical High
$489.78
Medcost
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$199.53
Typical High
$213.80
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$537.03
Median
$537.03
Typical High
$537.03
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$660.69
Typical High
$660.69

Where North Carolina 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.

North Carolina· 5th 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.