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Developmental Skills Assessment

Washington, DC rates for HCPCS 96112

This service uses a standardized testing tool to evaluate a child's developmental skills, such as motor coordination, language, thinking ability, and social behavior, followed by the clinician's interpretation and a written report. It helps identify developmental delays or guide further evaluation and support.

Rates data updated July 2026.

How much does Developmental Skills Assessment cost?

$120

Typical physician fee. In Washington, DC, July 2026.

Insurers have agreed to pay about $120 for this service. Most negotiated rates run $107 to $135.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $100 · 10th to 90th $87 to $117Professionalmedian $120 · 10th to 90th $98 to $151
$100facility $100professional $120

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
Aetna
Setting
Facility
Modifier
Global
Typical Low
$87.10
Median
$100.00
Typical High
$117.49
Aetna
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$120.23
Typical High
$147.91
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$114.82
Typical High
$131.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$190.55
Typical High
$512.86
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$114.82
Typical High
$151.36
United
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$147.91
Typical High
$346.74

Where Washington, DC sits

Rates are fairly even across states for this service. 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.

Washington, DC· 47th of 51

$120

MN $141WY $120

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.