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Developmental Skills Assessment

New Mexico 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 Mexico, 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 $145 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$107 to $145
FacilityA hospital or hospital-owned outpatient department$145$126 to $162

How much rates vary

Facilitymedian $145 · 10th to 90th $117 to $191Professionalmedian $123 · 10th to 90th $95 to $162
$100$200facility $145professional $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
$125.89
Median
$147.91
Typical High
$165.96
Aetna
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$123.03
Typical High
$162.18
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$134.90
Typical High
$158.49
BCBS
Setting
Facility
Modifier
Global
Typical Low
$194.98
Median
$194.98
Typical High
$194.98
BCBS
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$89.13
Typical High
$128.82
Cigna
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$158.49
Typical High
$229.09
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$33.11
Providence
Setting
Facility
Modifier
Global
Typical Low
$109.65
Median
$141.25
Typical High
$194.98
Providence
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$158.49
Typical High
$229.09
United
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$169.82
Typical High
$169.82
United
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$177.83
Typical High
$263.03

Where New Mexico 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 Mexico· 44th 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.