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Aphasia (Language Ability) Assessment

Kentucky 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?

$75.86

Typical negotiated rate. In Kentucky, October 2026.

Insurers have agreed to pay about $75.86 for this service. The price depends on where it is billed: about $75.86 from a physician practice, and about $95.50 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$75.86$64.57 to $87.10
FacilityA hospital or hospital-owned outpatient department$95.50$93.33 to $112

How much rates vary

Facilitymedian $95 · 10th to 90th $74 to $162Professionalmedian $76 · 10th to 90th $63 to $102
$100$200facility $95professional $76

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
$74.13
Median
$93.33
Typical High
$95.50
Aetna
Setting
Professional
Modifier
None
Typical Low
$93.33
Median
$93.33
Typical High
$95.50
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$63.10
Median
$72.44
Typical High
$91.20
CareSource
Setting
Facility
Modifier
None
Typical Low
$75.86
Median
$102.33
Typical High
$141.25
CareSource
Setting
Professional
Modifier
None
Typical Low
$75.86
Median
$107.15
Typical High
$141.25
Cigna
Setting
Facility
Modifier
None
Typical Low
$162.18
Median
$162.18
Typical High
$162.18
Cigna
Setting
Professional
Modifier
None
Typical Low
$72.44
Median
$91.20
Typical High
$467.74
Molina
Setting
Professional
Modifier
None
Typical Low
$33.11
Median
$33.11
Typical High
$56.23
United
Setting
Professional
Modifier
None
Typical Low
$57.54
Median
$100.00
Typical High
$128.82
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
$46.77
Median
$46.77
Typical High
$47.86
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$18.62
Median
$18.62
Typical High
$19.05

Where Kentucky 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.

Kentucky· 50th of 51

$75.86

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.