A face-to-face assessment by a speech-language pathologist to determine which speech-generating communication device suits a person who cannot make themselves understood by speaking. The therapist tests how the person can operate a device, whether by touch, eye gaze, or a switch, and what vocabulary and screen layout will work, then recommends a specific device and settings. It covers the first hour spent working with the patient.
Rates data updated October 2026.
How much does Assessment for a Speech-Generating Device cost?
$162
Typical physician fee. In Hawaii, October 2026.
Insurers have agreed to pay about $162 for this service. Most negotiated rates run $158 to $191.
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 $166 · 10th to 90th $166 to $166Professionalmedian $162 · 10th to 90th $155 to $200
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
Facility/Professional
Modifier
Typical LowTypical Low is the 10th percentile of the published rates, Median the 50th, and Typical High the 90th. One in ten rates falls below Typical Low, and one in ten falls above Typical High.
MedianTypical Low is the 10th percentile of the published rates, Median the 50th, and Typical High the 90th. One in ten rates falls below Typical Low, and one in ten falls above Typical High.
Typical HighTypical Low is the 10th percentile of the published rates, Median the 50th, and Typical High the 90th. One in ten rates falls below Typical Low, and one in ten falls above Typical High.
Aetna
Setting
Facility
Modifier
None
Typical Low
$165.96
Median
$165.96
Typical High
$165.96
Facility
None
$165.96
$165.96
$165.96
Aetna
Setting
Professional
Modifier
None
Typical Low
$114.82
Median
$134.90
Typical High
$190.55
Professional
None
$114.82
$134.90
$190.55
Cigna
Setting
Facility
Modifier
None
Typical Low
$165.96
Median
$165.96
Typical High
$165.96
Facility
None
$165.96
$165.96
$165.96
Cigna
Setting
Professional
Modifier
None
Typical Low
$162.18
Median
$162.18
Typical High
$162.18
Professional
None
$162.18
$162.18
$162.18
HMSA
Setting
Professional
Modifier
None
Typical Low
$169.82
Median
$194.98
Typical High
$218.78
Professional
None
$169.82
$194.98
$218.78
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$144.54
Median
$144.54
Typical High
$154.88
Professional
None
$144.54
$144.54
$154.88
United
Setting
Professional
Modifier
None
Typical Low
$162.18
Median
$162.18
Typical High
$162.18
Professional
None
$162.18
$162.18
$162.18
University Health Alliance
Setting
Professional
Modifier
None
Typical Low
$114.82
Median
$158.49
Typical High
$158.49
Professional
None
$114.82
$158.49
$158.49
1 more rate with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
Insurance Carrier
Facility/Professional
Modifier
Typical LowTypical Low is the 10th percentile of the published rates, Median the 50th, and Typical High the 90th. One in ten rates falls below Typical Low, and one in ten falls above Typical High.
MedianTypical Low is the 10th percentile of the published rates, Median the 50th, and Typical High the 90th. One in ten rates falls below Typical Low, and one in ten falls above Typical High.
Typical HighTypical Low is the 10th percentile of the published rates, Median the 50th, and Typical High the 90th. One in ten rates falls below Typical Low, and one in ten falls above Typical High.
HMSA
Setting
Professional
Modifier
51 · Multiple procedures
Typical Low
$87.10
Median
$97.72
Typical High
$102.33
Professional
51 · Multiple procedures
$87.10
$97.72
$102.33
Where Hawaii sits
The same service costs 2.8 times more in Alaska than in Indiana. 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.