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Additional Time For Child Developmental Testing

Maine 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?

$54.95

Typical physician fee. In Maine, October 2026.

Insurers have agreed to pay about $54.95 for this service. Most negotiated rates run $48.98 to $64.57.

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

Facilitymedian $60 · 10th to 90th $49 to $66Professionalmedian $55 · 10th to 90th $42 to $65
$50$100facility $60professional $55

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$48.98
Median
$60.26
Typical High
$64.57
Aetna
Setting
Professional
Modifier
None
Typical Low
$48.98
Median
$60.26
Typical High
$64.57
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$30.20
Median
$30.20
Typical High
$31.62
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$12.02
Median
$12.02
Typical High
$12.88
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$33.88
Median
$41.69
Typical High
$61.66
Cigna
Setting
Professional
Modifier
None
Typical Low
$48.98
Median
$70.79
Typical High
$123.03
Harvard Pilgrim
Setting
Professional
Modifier
None
Typical Low
$41.69
Median
$52.48
Typical High
$69.18
Martin's Point
Setting
Facility
Modifier
None
Typical Low
$56.23
Median
$60.26
Typical High
$66.07
Martin's Point
Setting
Professional
Modifier
None
Typical Low
$48.98
Median
$60.26
Typical High
$64.57
Martin's Point
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$30.20
Median
$30.20
Typical High
$31.62
Martin's Point
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$12.02
Median
$12.02
Typical High
$12.88
United
Setting
Professional
Modifier
None
Typical Low
$52.48
Median
$85.11
Typical High
$109.65

Where Maine 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.

Maine· 34th of 51

$54.95

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.