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Aphasia (Language Ability) Assessment

Maine 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 physician fee. In Maine, July 2026.

Insurers have agreed to pay about $107 for this service. Most negotiated rates run $97.72 to $120.

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 $115 · 10th to 90th $107 to $115Professionalmedian $107 · 10th to 90th $91 to $186
$100.0$200.0$500.0facility $115professional $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. 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
Global
Typical Low
$107.15
Median
$107.15
Typical High
$114.82
Aetna
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$100.00
Typical High
$109.65
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$134.90
Typical High
$181.97
Cigna
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$120.23
Typical High
$218.78
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$141.25
Typical High
$204.17
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$114.82
Typical High
$147.91
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$102.33
Typical High
$117.49
United
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$138.04
Typical High
$204.17

Where Maine 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.

Maine $107 · 21st 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.