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Developmental Skills Assessment

Massachusetts 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?

$132

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $132 for this service. The price depends on where it is billed: about $132 from a physician practice, and about $148 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 9 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$132$115 to $151
FacilityA hospital or hospital-owned outpatient department$148$135 to $166

How much rates vary

Facilitymedian $148 · 10th to 90th $126 to $195Professionalmedian $132 · 10th to 90th $102 to $229
$100$200$500facility $148professional $132

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
$125.89
Median
$147.91
Typical High
$194.98
Aetna
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$125.89
Typical High
$165.96
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$794.33
Median
$794.33
Typical High
$794.33
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$186.21
Typical High
$794.33
BCBS
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$177.83
Typical High
$288.40
BCBS
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$204.17
Typical High
$338.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$177.83
Typical High
$371.54
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$147.91
Typical High
$208.93
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$147.91
Typical High
$181.97
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$169.82
Typical High
$316.23
Health New England
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$186.21
Typical High
$1,071.52
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$794.33
Median
$794.33
Typical High
$794.33
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$186.21
Typical High
$794.33
United
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$177.83
Typical High
$204.17
United
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$181.97
Typical High
$346.74

Where Massachusetts 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.

Massachusetts· 8th of 51

$132

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.