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Additional Time For Child Developmental Testing

New Mexico 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 New Mexico, October 2026.

Insurers have agreed to pay about $54.95 for this service. Most negotiated rates run $40.74 to $66.07.

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.

How much rates vary

Facilitymedian $66 · 10th to 90th $48 to $81Professionalmedian $55 · 10th to 90th $38 to $74
$50$100facility $66professional $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
$47.86
Median
$66.07
Typical High
$75.86
Aetna
Setting
Professional
Modifier
None
Typical Low
$54.95
Median
$66.07
Typical High
$85.11
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$23.99
Median
$33.11
Typical High
$35.48
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$9.77
Median
$13.18
Typical High
$14.13
Ambetter
Setting
Professional
Modifier
None
Typical Low
$60.26
Median
$60.26
Typical High
$60.26
BCBS New Mexico
Setting
Professional
Modifier
None
Typical Low
$34.67
Median
$40.74
Typical High
$57.54
Cigna
Setting
Professional
Modifier
None
Typical Low
$48.98
Median
$69.18
Typical High
$100.00
Molina
Setting
Professional
Modifier
None
Typical Low
$33.11
Median
$33.11
Typical High
$54.95
Providence
Setting
Facility
Modifier
None
Typical Low
$74.13
Median
$74.13
Typical High
$85.11
Providence
Setting
Professional
Modifier
None
Typical Low
$34.67
Median
$64.57
Typical High
$100.00
United
Setting
Professional
Modifier
None
Typical Low
$58.88
Median
$85.11
Typical High
$120.23

Where New Mexico 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.

New Mexico· 36th 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.