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Developmental Skills Assessment

New Jersey 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?

$123

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $123 for this service. The price depends on where it is billed: about $123 from a physician practice, and about $123 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 7 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$123$110 to $141
FacilityA hospital or hospital-owned outpatient department$123$107 to $138

How much rates vary

Facilitymedian $123 · 10th to 90th $100 to $229Professionalmedian $123 · 10th to 90th $100 to $162
$100$200$500facility $123professional $123

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
$100.00
Median
$123.03
Typical High
$223.87
Aetna
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$123.03
Typical High
$154.88
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$104.71
Typical High
$114.82
AmeriHealth
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$83.18
Typical High
$112.20
Cigna
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$162.18
Typical High
$288.40
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$89.13
Typical High
$89.13
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$89.13
Typical High
$190.55
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$501.19
Typical High
$676.08
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$154.88
Typical High
$245.47
United
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$131.83
Typical High
$263.03

Where New Jersey 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.

New Jersey· 42nd of 51

$123

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.