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Extended Developmental Testing For A Child

Virginia 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?

$214

Typical physician fee. In Virginia, July 2026.

Insurers have agreed to pay about $214 for this service. Most negotiated rates run $170 to $282.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

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

Professionalmedian $214 · 10th to 90th $126 to $575
$100$200$500professional $214

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
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$162.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$501.19
Typical High
$616.60
Medcost
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$204.17
Typical High
$213.80

Where Virginia 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.

Virginia· 29th of 44

$214

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.