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Aphasia (Language Ability) Assessment

Illinois 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 July 2026.

How much does Aphasia (Language Ability) Assessment cost?

$107

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $107 for this service. The price depends on where it is billed: about $107 from a physician practice, and about $166 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$107$95.50 to $135
FacilityA hospital or hospital-owned outpatient department$166$107 to $251

How much rates vary

Facilitymedian $166 · 10th to 90th $100 to $1,148Professionalmedian $107 · 10th to 90th $89 to $182
$50.0$100.0$200.0$500.0$1.0K$2.0Kfacility $166professional $107

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
Facility
Modifier
Global
Typical Low
$100.00
Median
$165.96
Typical High
$251.19
Aetna
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$100.00
Typical High
$134.90
BCBS
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$288.40
Typical High
$1,584.89
BCBS
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$162.18
Typical High
$190.55
Cigna
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$75.86
Typical High
$125.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$123.03
Typical High
$181.97
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$131.83
Typical High
$190.55
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$120.23
Typical High
$125.89
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$97.72
Median
$107.15
Typical High
$162.18
United
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$112.20
Typical High
$194.98

Where Illinois sits

The same service costs 2.5 times more in Alaska than in New Mexico. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Illinois $107 · 19th of 51
AK $219NM $89.13

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.