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Additional Time For Child Developmental Testing

Hawaii rates for HCPCS 96113

An add-on service for extra time spent administering and scoring formal developmental tests with a child, beyond the initial time already covered. These tests assess a child's cognitive, motor, language, or social development compared with typical milestones for their age.

Rates data updated October 2026.

How much does Additional Time For Child Developmental Testing cost?

$72.44

Typical physician fee. In Hawaii, October 2026.

Insurers have agreed to pay about $72.44 for this service. Most negotiated rates run $58.88 to $81.28.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Professionalmedian $72 · 10th to 90th $48 to $81
$50$100professional $72

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$44.67
Median
$56.23
Typical High
$74.13
Cigna
Setting
Professional
Modifier
None
Typical Low
$48.98
Median
$58.88
Typical High
$69.18
HMSA
Setting
Professional
Modifier
None
Typical Low
$81.28
Median
$81.28
Typical High
$93.33
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$37.15
Median
$50.12
Typical High
$63.10
United
Setting
Professional
Modifier
None
Typical Low
$56.23
Median
$69.18
Typical High
$70.79
University Health Alliance
Setting
Professional
Modifier
None
Typical Low
$72.44
Median
$72.44
Typical High
$72.44
2 more rates with less common billing modifiers

A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.

Insurance Carrier
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$25.12
Median
$29.51
Typical High
$37.15
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$10.23
Median
$12.02
Typical High
$14.79

Where Hawaii sits

The same service costs 2.6 times more in Alaska than in Arizona. 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.

Hawaii· 9th of 51

$72.44

AK $110AZ $42.66

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.