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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 October 2026.

How much does Developmental Skills Assessment cost?

$115

Typical negotiated rate. In Illinois, October 2026.

Insurers have agreed to pay about $115 for this service. The price depends on where it is billed: about $115 from a physician practice, and about $132 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$115$100 to $132
FacilityA hospital or hospital-owned outpatient department$132$110 to $200

How much rates vary

Facilitymedian $132 · 10th to 90th $98 to $501Professionalmedian $115 · 10th to 90th $98 to $182
$100$200$500$1K$2Kfacility $132professional $115

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
$95.50
Median
$112.20
Typical High
$144.54
Aetna
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$61.66
Median
$64.57
Typical High
$70.79
Aetna
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$24.55
Median
$26.30
Typical High
$28.18
Aetna
Setting
Professional
Modifier
None
Typical Low
$97.72
Median
$112.20
Typical High
$131.83
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$61.66
Median
$64.57
Typical High
$64.57
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$24.55
Median
$25.70
Typical High
$26.30
Ambetter
Setting
Professional
Modifier
None
Typical Low
$100.00
Median
$112.20
Typical High
$151.36
BCBS Illinois
Setting
Facility
Modifier
None
Typical Low
$173.78
Median
$331.13
Typical High
$1,819.70
BCBS Illinois
Setting
Professional
Modifier
None
Typical Low
$100.00
Median
$141.25
Typical High
$213.80
Cigna
Setting
Professional
Modifier
None
Typical Low
$114.82
Median
$138.04
Typical High
$204.17
Hally Health
Setting
Professional
Modifier
None
Typical Low
$104.71
Median
$120.23
Typical High
$234.42
Hally Health
Setting
Facility
Modifier
None
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Molina
Setting
Professional
Modifier
None
Typical Low
$16.98
Median
$33.11
Typical High
$83.18
United
Setting
Facility
Modifier
None
Typical Low
$302.00
Median
$302.00
Typical High
$346.74
United
Setting
Professional
Modifier
None
Typical Low
$100.00
Median
$100.00
Typical High
$194.98

Where Illinois 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.

Illinois· 43rd of 51

$115

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.