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Aphasia (Language Ability) Assessment

Georgia rates for HCPCS 96105

A structured assessment of language ability after a stroke, head injury or other brain condition, testing speaking, understanding, reading, writing and spelling. The clinician scores the findings and writes a report that guides therapy; it is charged for each hour of assessment.

Rates data updated October 2026.

How much does Aphasia (Language Ability) Assessment cost?

$102

Typical physician fee. In Georgia, October 2026.

Insurers have agreed to pay about $102 for this service. Most negotiated rates run $89.13 to $132.

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 $91 · 10th to 90th $91 to $105Professionalmedian $102 · 10th to 90th $71 to $166
$100$200facility $91professional $102

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
$91.20
Median
$91.20
Typical High
$104.71
Aetna
Setting
Professional
Modifier
None
Typical Low
$91.20
Median
$91.20
Typical High
$107.15
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$66.07
Median
$102.33
Typical High
$165.96
Cigna
Setting
Professional
Modifier
None
Typical Low
$83.18
Median
$104.71
Typical High
$194.98
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$89.13
Median
$107.15
Typical High
$144.54
United
Setting
Professional
Modifier
None
Typical Low
$81.28
Median
$107.15
Typical High
$263.03
3 more rates 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
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$45.71
Median
$45.71
Typical High
$53.70
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$18.62
Median
$18.62
Typical High
$21.38
Ambetter
Setting
Professional
Modifier
GN · Speech therapy plan
Typical Low
$74.13
Median
$74.13
Typical High
$74.13

Where Georgia sits

The same service costs 3.0 times more in Alaska than in Florida. 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.

Georgia· 30th of 51

$102

AK $219FL $74.13

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.