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Developmental Skills Assessment

Maine 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?

$123

Typical physician fee. In Maine, October 2026.

Insurers have agreed to pay about $123 for this service. Most negotiated rates run $110 to $145.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $135 · 10th to 90th $110 to $145Professionalmedian $123 · 10th to 90th $93 to $145
$100$200facility $135professional $123

Distribution of negotiated rates across all payers (price axis is log-scale). 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
None
Typical Low
$109.65
Median
$134.90
Typical High
$144.54
Aetna
Setting
Professional
Modifier
None
Typical Low
$109.65
Median
$134.90
Typical High
$144.54
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$67.61
Median
$67.61
Typical High
$70.79
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$26.92
Median
$26.92
Typical High
$28.84
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$79.43
Median
$93.33
Typical High
$128.82
Cigna
Setting
Professional
Modifier
None
Typical Low
$104.71
Median
$151.36
Typical High
$288.40
Harvard Pilgrim
Setting
Professional
Modifier
None
Typical Low
$100.00
Median
$117.49
Typical High
$154.88
Martin's Point
Setting
Facility
Modifier
None
Typical Low
$109.65
Median
$134.90
Typical High
$144.54
Martin's Point
Setting
Professional
Modifier
None
Typical Low
$109.65
Median
$134.90
Typical High
$144.54
Martin's Point
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$67.61
Median
$67.61
Typical High
$70.79
Martin's Point
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$26.92
Median
$26.92
Typical High
$28.84
United
Setting
Professional
Modifier
None
Typical Low
$104.71
Median
$186.21
Typical High
$234.42

Where Maine 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.

Maine· 36th of 51

$123

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.