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Additional Time For Child Developmental Testing

Illinois 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?

$52.48

Typical negotiated rate. In Illinois, October 2026.

Insurers have agreed to pay about $52.48 for this service. The price depends on where it is billed: about $52.48 from a physician practice, and about $57.54 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$52.48$45.71 to $61.66
FacilityA hospital or hospital-owned outpatient department$57.54$48.98 to $151

How much rates vary

Facilitymedian $58 · 10th to 90th $44 to $417Professionalmedian $52 · 10th to 90th $44 to $76
$50$100$200$500$1Kfacility $58professional $52

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
Facility
Modifier
None
Typical Low
$43.65
Median
$52.48
Typical High
$61.66
Aetna
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$28.84
Median
$30.20
Typical High
$33.88
Aetna
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$11.48
Median
$12.02
Typical High
$13.49
Aetna
Setting
Professional
Modifier
None
Typical Low
$43.65
Median
$50.12
Typical High
$61.66
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$27.54
Median
$28.84
Typical High
$30.90
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$10.96
Median
$11.48
Typical High
$12.30
Ambetter
Setting
Professional
Modifier
None
Typical Low
$45.71
Median
$45.71
Typical High
$60.26
BCBS Illinois
Setting
Facility
Modifier
None
Typical Low
$141.25
Median
$234.42
Typical High
$1,258.93
BCBS Illinois
Setting
Professional
Modifier
None
Typical Low
$42.66
Median
$61.66
Typical High
$91.20
Cigna
Setting
Professional
Modifier
None
Typical Low
$51.29
Median
$58.88
Typical High
$89.13
Hally Health
Setting
Professional
Modifier
None
Typical Low
$42.66
Median
$50.12
Typical High
$104.71
Hally Health
Setting
Facility
Modifier
None
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Molina
Setting
Professional
Modifier
None
Typical Low
$28.84
Median
$33.11
Typical High
$38.02
United
Setting
Professional
Modifier
None
Typical Low
$52.48
Median
$69.18
Typical High
$120.23

Where Illinois 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.

Illinois· 39th of 51

$52.48

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.