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Extended Developmental Testing For A Child

Pennsylvania 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?

$138

Typical physician fee. In Pennsylvania, July 2026.

Insurers have agreed to pay about $138 for this service. Most negotiated rates run $107 to $178.

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

Professionalmedian $138 · 10th to 90th $81 to $288
$100$200$500professional $138

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
Cigna
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$501.19
Typical High
$616.60
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$81.28
Typical High
$85.11
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$138.04
Typical High
$245.47
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$93.33
Typical High
$93.33

Where Pennsylvania 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.

Pennsylvania· 36th of 44

$138

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.