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Developmental Skills Assessment

North Carolina 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 North Carolina, July 2026.

Insurers have agreed to pay about $126 for this service. The price depends on where it is billed: about $126 from a physician practice, and about $132 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 8 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$126$110 to $148
FacilityA hospital or hospital-owned outpatient department$132$123 to $174

How much rates vary

Facilitymedian $132 · 10th to 90th $120 to $200Professionalmedian $126 · 10th to 90th $98 to $174
$100$200$500facility $132professional $126

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
$123.03
Median
$125.89
Typical High
$194.98
Aetna
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$125.89
Typical High
$169.82
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$114.82
Typical High
$239.88
BCBS
Setting
Facility
Modifier
Global
Typical Low
$154.88
Median
$173.78
Typical High
$186.21
BCBS
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$125.89
Typical High
$239.88
Cigna
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$181.97
Typical High
$309.03
Medcost
Setting
Facility
Modifier
Global
Typical Low
$117.49
Median
$144.54
Typical High
$204.17
Medcost
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$114.82
Typical High
$114.82
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$107.15
Typical High
$173.78
United
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$144.54
Typical High
$263.03
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$794.33
Median
$794.33
Typical High
$794.33
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$1,071.52
Typical High
$1,071.52

Where North Carolina 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.

North Carolina· 34th 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.