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Aphasia (Language Ability) Assessment

New Mexico 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?

$115

Typical negotiated rate. In New Mexico, October 2026.

Insurers have agreed to pay about $115 for this service. The price depends on where it is billed: about $115 from a physician practice, and about $257 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$115$83.18 to $138
FacilityA hospital or hospital-owned outpatient department$257$95.50 to $355

How much rates vary

Facilitymedian $257 · 10th to 90th $59 to $468Professionalmedian $115 · 10th to 90th $59 to $158
$50$100$200$500facility $257professional $115

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$79.43
Median
$125.89
Typical High
$125.89
Aetna
Setting
Professional
Modifier
None
Typical Low
$79.43
Median
$114.82
Typical High
$114.82
BCBS New Mexico
Setting
Facility
Modifier
None
Typical Low
$58.88
Median
$309.03
Typical High
$489.78
BCBS New Mexico
Setting
Professional
Modifier
None
Typical Low
$58.88
Median
$69.18
Typical High
$95.50
Cigna
Setting
Professional
Modifier
None
Typical Low
$83.18
Median
$120.23
Typical High
$165.96
Molina
Setting
Professional
Modifier
None
Typical Low
$33.11
Median
$138.04
Typical High
$138.04
Providence
Setting
Facility
Modifier
None
Typical Low
$72.44
Median
$95.50
Typical High
$97.72
Providence
Setting
Professional
Modifier
None
Typical Low
$83.18
Median
$120.23
Typical High
$165.96
United
Setting
Facility
Modifier
None
Typical Low
$97.72
Median
$97.72
Typical High
$97.72
United
Setting
Professional
Modifier
None
Typical Low
$89.13
Median
$138.04
Typical High
$173.78
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
$39.81
Median
$57.54
Typical High
$57.54
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$15.85
Median
$22.91
Typical High
$22.91

Where New Mexico 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.

New Mexico· 21st of 51

$115

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.