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Developmental Skills Assessment

Tennessee 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 Tennessee, 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 $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$126$115 to $148
FacilityA hospital or hospital-owned outpatient department$123$120 to $132

How much rates vary

Facilitymedian $123 · 10th to 90th $105 to $186Professionalmedian $126 · 10th to 90th $102 to $174
$100$200$500facility $123professional $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
$117.49
Median
$123.03
Typical High
$138.04
Aetna
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$125.89
Typical High
$173.78
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$120.23
Typical High
$158.49
BCBS
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$154.88
Typical High
$281.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$158.49
Typical High
$275.42
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$794.33
Median
$794.33
Typical High
$794.33
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$1,071.52
Typical High
$1,071.52
Optum
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$102.33
Typical High
$131.83
United
Setting
Facility
Modifier
Global
Typical Low
$91.20
Median
$125.89
Typical High
$223.87
United
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$151.36
Typical High
$257.04

Where Tennessee 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.

Tennessee· 23rd 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.