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Aphasia (Language Ability) Assessment

North Carolina 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?

$97.72

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $97.72 for this service. The price depends on where it is billed: about $97.72 from a physician practice, and about $100 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$97.72$91.20 to $107
FacilityA hospital or hospital-owned outpatient department$100$97.72 to $123

How much rates vary

Facilitymedian $100 · 10th to 90th $83 to $178Professionalmedian $98 · 10th to 90th $85 to $178
$50.0$100.0$200.0$500.0$1.0Kfacility $100professional $98

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
$91.20
Median
$97.72
Typical High
$100.00
Aetna
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$97.72
Typical High
$123.03
BCBS
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$144.54
Typical High
$229.09
BCBS
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$97.72
Typical High
$234.42
Cigna
Setting
Facility
Modifier
Global
Typical Low
$44.67
Median
$64.57
Typical High
$186.21
Cigna
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$114.82
Typical High
$208.93
Medcost
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$104.71
Typical High
$154.88
Medcost
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$102.33
Typical High
$102.33
United
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$112.20
Typical High
$158.49
United
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$102.33
Typical High
$186.21
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$616.60
Typical High
$616.60
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$776.25
Typical High
$776.25

Where North Carolina 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.

North Carolina $97.72 · 43rd 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.