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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 July 2026.

How much does Developmental Skills Assessment cost?

$129

Typical physician fee. In Maine, July 2026.

Insurers have agreed to pay about $129 for this service. Most negotiated rates run $115 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 $145 · 10th to 90th $135 to $158Professionalmedian $129 · 10th to 90th $102 to $166
$100$200facility $145professional $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
$134.90
Median
$144.54
Typical High
$158.49
Aetna
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$125.89
Typical High
$162.18
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$131.83
Typical High
$173.78
Cigna
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$151.36
Typical High
$295.12
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$144.54
Typical High
$288.40
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$144.54
Typical High
$158.49
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$125.89
Typical High
$162.18
United
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$181.97
Typical High
$239.88

Where Maine 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.

Maine· 18th of 51

$129

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.