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Developmental Skills Assessment

Illinois 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?

$126

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $126 for this service. The price depends on where it is billed: about $129 from a physician practice, and about $112 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 7 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$129$112 to $148
FacilityA hospital or hospital-owned outpatient department$112$97.72 to $132

How much rates vary

Facilitymedian $112 · 10th to 90th $98 to $155Professionalmedian $129 · 10th to 90th $100 to $186
$100$200$500facility $112professional $129

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
Aetna
Setting
Facility
Modifier
Global
Typical Low
$97.72
Median
$112.20
Typical High
$147.91
Aetna
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$125.89
Typical High
$169.82
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$114.82
Typical High
$134.90
BCBS
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$269.15
Typical High
$645.65
BCBS
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$141.25
Typical High
$213.80
Cigna
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$181.97
Typical High
$181.97
Cigna
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$154.88
Typical High
$245.47
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$162.18
Typical High
$562.34
Molina
Setting
Professional
Modifier
Global
Typical Low
$18.20
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$302.00
Typical High
$346.74
United
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$158.49
Typical High
$257.04

Where Illinois 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.

Illinois· 21st of 51

$126

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.