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Extended Developmental Testing For A Child

Wisconsin 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?

$427

Typical physician fee. In Wisconsin, July 2026.

Insurers have agreed to pay about $427 for this service. Most negotiated rates run $269 to $603.

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 $398 · 10th to 90th $269 to $575Professionalmedian $427 · 10th to 90th $209 to $661
$100$200$500facility $398professional $427

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
Cigna
Setting
Facility
Modifier
Global
Typical Low
$338.84
Median
$398.11
Typical High
$691.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$380.19
Typical High
$489.78
Medica
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$660.69
Typical High
$660.69
Molina
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$58.88
Typical High
$87.10
Quartz
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$269.15
Typical High
$537.03
Quartz
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$660.69
Typical High
$660.69

Where Wisconsin 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.

Wisconsin· 13th of 44

$427

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.