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Developmental Skills Assessment

South Dakota 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 physician fee. In South Dakota, July 2026.

Insurers have agreed to pay about $123 for this service. Most negotiated rates run $107 to $141.

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.

How much rates vary

Facilitymedian $120 · 10th to 90th $93 to $174Professionalmedian $123 · 10th to 90th $95 to $166
$100$200$500facility $120professional $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
$93.33
Median
$104.71
Typical High
$123.03
Aetna
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$120.23
Typical High
$158.49
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$251.19
Typical High
$316.23
Medica
Setting
Facility
Modifier
Global
Typical Low
$104.71
Median
$134.90
Typical High
$218.78
Medica
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$245.47
Typical High
$794.33
Midlands
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$263.03
Typical High
$309.03
Midlands
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$218.78
Typical High
$229.09
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$162.18
Typical High
$257.04
United
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$154.88
Typical High
$288.40
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$194.98
Typical High
$239.88

Where South Dakota 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.

South Dakota· 37th 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.