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Aphasia (Language Ability) Assessment

Indiana 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?

$93.33

Typical negotiated rate. In Indiana, October 2026.

Insurers have agreed to pay about $93.33 for this service. The price depends on where it is billed: about $93.33 from a physician practice, and about $224 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$93.33$85.11 to $100
FacilityA hospital or hospital-owned outpatient department$224$100 to $295

How much rates vary

Facilitymedian $224 · 10th to 90th $93 to $2,089Professionalmedian $93 · 10th to 90th $76 to $120
$100$200$500$1K$2Kfacility $224professional $93

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
$93.33
Median
$93.33
Typical High
$93.33
Aetna
Setting
Professional
Modifier
None
Typical Low
$91.20
Median
$93.33
Typical High
$100.00
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$100.00
Median
$100.00
Typical High
$194.98
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$72.44
Median
$93.33
Typical High
$100.00
CareSource
Setting
Facility
Modifier
None
Typical Low
$87.10
Median
$87.10
Typical High
$97.72
Cigna
Setting
Professional
Modifier
None
Typical Low
$70.79
Median
$100.00
Typical High
$467.74
Physicians Health Plan of Northern Indiana
Setting
Facility
Modifier
None
Typical Low
$141.25
Median
$281.84
Typical High
$2,187.76
Physicians Health Plan of Northern Indiana
Setting
Professional
Modifier
None
Typical Low
$66.07
Median
$93.33
Typical High
$181.97
United
Setting
Professional
Modifier
None
Typical Low
$77.62
Median
$100.00
Typical High
$162.18
2 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
$50.12
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$18.62
Median
$18.62
Typical High
$20.42

Where Indiana 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.

Indiana· 42nd of 51

$93.33

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.