Rate Benchmarking
Compare your rates with similar providers.
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonCPT 96110 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Child Development Testing, Standardized Development Testing Including Interpretation Of Results And A Report. Tests Assess Motor Language And Social Skills As Well As Adaptive Or Cognitive Functions.
| Key Fact | Detail |
|---|---|
| Service Type | Medicine Services and Procedures Central Nervous System Assessments/Tests (eg, Neuro-Cognitive, Mental Status, Speech Testing) |
| Common Place of Service | 11 - Office 50 - Federally Qualified Health Center |
| Common Modifiers | 59 - Distinct Procedural Service EP - Residential facility to Physician's office |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 96110 |
| Medicaid Fee Schedule | $10.155 median of the 8 states in the free preview · View Medicaid rates for 96110 |
National average reimbursement for CPT 96110 by major payers:
$14.31
$14.86
$13.91
$17.99
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 96110.
CPT 96110
5 of 25 sample ratesHigher to lower in this preview
Emily Redwood
Columbia University In The City Of New York
$39.15Published rateNeena Makam
Christiana Care Health Services Inc
$25.12Published rateValeriy Chorny
New York City Health And Hospitals Corporation
$13.40Published rateTaisha Benjamin
Community Healthcare Network Inc
$11.28Published rateMarina Goldis
$8.09Published rate
Get a free rate benchmark for your specialty.
Choose your state and specialty to build a report from payer-published rates.
Use market rates to prepare your payer proposal.
Payer Contract Negotiation
Draft a fee schedule renegotiation letter.
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalCPT 96110 vs. Other Central Nervous System Assessments/Tests (eg, Neuro-Cognitive, Mental Status, Speech Testing) Codes
The CPT 96110 code is part of the Medicine Services and Procedures services used for Central Nervous System Assessments/Tests (eg, Neuro-Cognitive, Mental Status, Speech Testing). It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 96110 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 96105-CPT | Low | Assessment Of Aphasia, Assessment Of Aphasia Includes Assessment Of Expressive And Receptive Speech And Language Function Language Comprehension Speech Production Ability Reading Spelling Writing Eg By Boston Diagnostic Aphasia Examination With Interpretation And Report Per Hour |
| 96110-CPT | Low | Child Development Testing, Standardized Development Testing Including Interpretation Of Results And A Report. Tests Assess Motor Language And Social Skills As Well As Adaptive Or Cognitive Functions. |
| 96112-CPT | Low | Developmental Test Administration (Including Assessment Of Fine And/Or Gross Motor Language Cognitive Level Social Memory And/Or Executive Functions By Standardized Developmental Instru- Ments When Performed) By Physician Or Other Qua- Lified Health Care Professional With Interpreta- Tion And Report; First Hour Separately In Addition To Code For Primary Procedur) |
| 96113-CPT | Low | Devel Tst Phys Qhp Ea Addl, Developmental Test Administration Including Assessment Of Fine And Or Gross Motor Language Cognitive Level Social Memory And Or Executive Functions By Standardized Developmental Instruments When Performed By Physician Or Other Qualified Health Care Professional With Interpretation And Report Each Additional 30 Minutes List Separately In Addition To Code For Primary Procedure |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 96110. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 96110 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
FREE SAMPLE MARKET COMPARISON
Let's review your payer contracts side-by-side with the market.
Bring your top codes (like CPT 96110) and we'll show you how you compare in 15 minutes or less.