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Developmental Skills Assessment

Delaware 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 October 2026.

How much does Developmental Skills Assessment cost?

$126

Typical physician fee. In Delaware, October 2026.

Insurers have agreed to pay about $126 for this service. Most negotiated rates run $115 to $132.

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 $126 · 10th to 90th $120 to $148Professionalmedian $126 · 10th to 90th $107 to $145
$100$200facility $126professional $126

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$120.23
Median
$125.89
Typical High
$144.54
Aetna
Setting
Professional
Modifier
None
Typical Low
$107.15
Median
$125.89
Typical High
$144.54
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$63.10
Median
$63.10
Typical High
$64.57
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$25.12
Median
$25.70
Typical High
$25.70
Cigna
Setting
Facility
Modifier
None
Typical Low
$181.97
Median
$181.97
Typical High
$181.97
Cigna
Setting
Professional
Modifier
None
Typical Low
$107.15
Median
$141.25
Typical High
$181.97
United
Setting
Professional
Modifier
None
Typical Low
$100.00
Median
$114.82
Typical High
$173.78
1 more rate with less common billing modifiers

A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.

Insurance Carrier
Highmark BCBS
Setting
Professional
Modifier
59 · Distinct service
Typical Low
$147.91
Median
$371.54
Typical High
$380.19

Where Delaware sits

The same service costs 2.4 times more in Alaska than in Ohio. 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.

Delaware· 31st of 51

$126

AK $245OH $102

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.