go back

Additional Time For Child Developmental Testing

Virginia 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?

$54.95

Typical physician fee. In Virginia, July 2026.

Insurers have agreed to pay about $54.95 for this service. Most negotiated rates run $48.98 to $63.10.

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 8 insurance carriers under federal price transparency rules.

How much rates vary

Professionalmedian $55 · 10th to 90th $46 to $72
$50$100professional $55

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
$44.67
Median
$54.95
Typical High
$67.61
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$67.61
Typical High
$95.50
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$48.98
Typical High
$61.66
Cigna
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$70.79
Typical High
$123.03
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$52.48
Typical High
$67.61
Medcost
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$107.15
Typical High
$107.15
Medcost
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$51.29
Typical High
$51.29
Sentara
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$79.43
Typical High
$114.82
United
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$70.79
Typical High
$123.03

Where Virginia 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.

Virginia· 44th of 51

$54.95

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.