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Developmental Skills Assessment

West Virginia 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?

$120

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $120 for this service. The price depends on where it is billed: about $120 from a physician practice, and about $138 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 5 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$120$107 to $135
FacilityA hospital or hospital-owned outpatient department$138$123 to $977

How much rates vary

Facilitymedian $138 · 10th to 90th $117 to $1,995Professionalmedian $120 · 10th to 90th $95 to $155
$100$200$500$1K$2Kfacility $138professional $120

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
$138.04
Typical High
$1,995.26
Aetna
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$120.23
Typical High
$154.88
CareSource
Setting
Facility
Modifier
Global
Typical Low
$128.82
Median
$128.82
Typical High
$154.88
CareSource
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$138.04
Typical High
$138.04
Cigna
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$181.97
Typical High
$181.97
Cigna
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$147.91
Typical High
$602.56
Highmark BCBS
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$162.18
Typical High
$218.78
United
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$229.09
Typical High
$229.09
United
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$147.91
Typical High
$213.80

Where West Virginia 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.

West Virginia· 46th of 51

$120

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.