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Extended Developmental Testing For A Child

New York 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?

$89.13

Typical physician fee. In New York, July 2026.

Insurers have agreed to pay about $89.13 for this service. Most negotiated rates run $0.10 to $89.13.

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 $0 · 10th to 90th $0 to $0Professionalmedian $89 · 10th to 90th $76 to $129
$0.1$1$10$100facility $0professional $89

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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$128.82
Typical High
$128.82
Cigna
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$537.03
Typical High
$645.65
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$0.10
Median
$0.10
Typical High
$0.10
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$89.13
Typical High
$89.13
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$194.98
Typical High
$194.98

Where New York 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.

New York· 39th of 44

$89.13

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.