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Additional Time For Child Developmental Testing

Massachusetts 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 July 2026.

How much does Additional Time For Child Developmental Testing cost?

$58.88

Typical physician fee. In Massachusetts, July 2026.

Insurers have agreed to pay about $58.88 for this service. Most negotiated rates run $51.29 to $69.18.

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 9 insurance carriers under federal price transparency rules.

How much rates vary

Professionalmedian $59 · 10th to 90th $47 to $98
$50$100$200professional $59

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
Professional
Modifier
Global
Typical Low
$46.77
Median
$57.54
Typical High
$74.13
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$91.20
Typical High
$371.54
BCBS
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$85.11
Typical High
$141.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$79.43
Typical High
$173.78
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$91.20
Typical High
$91.20
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$75.86
Typical High
$138.04
Health New England
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$724.44
Typical High
$1,023.29
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$91.20
Typical High
$371.54
United
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$87.10
Typical High
$154.88

Where Massachusetts 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.

Massachusetts· 8th of 51

$58.88

MN $61.66SD $53.70

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.