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Aphasia (Language Ability) Assessment

New York 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?

$105

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $105 for this service. The price depends on where it is billed: about $102 from a physician practice, and about $126 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 9 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$102$91.20 to $138
FacilityA hospital or hospital-owned outpatient department$126$102 to $178

How much rates vary

Facilitymedian $126 · 10th to 90th $91 to $302Professionalmedian $102 · 10th to 90th $85 to $269
$100.0$1.0K$10.0Kfacility $126professional $102

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
$114.82
Typical High
$302.00
Aetna
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$100.00
Typical High
$147.91
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$102.33
Typical High
$213.80
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$141.25
Typical High
$141.25
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$141.25
Typical High
$141.25
Cigna
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$162.18
Typical High
$407.38
Cigna
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$138.04
Typical High
$338.84
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$109.65
Median
$213.80
Typical High
$371.54
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$141.25
Typical High
$204.17
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$57.54
Median
$151.36
Typical High
$151.36
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$114.82
Typical High
$181.97
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$50,118.72
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$134.90
Typical High
$229.09
United
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$97.72
Typical High
$331.13
United
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$144.54
Typical High
$1,659.59
Univera
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$151.36
Typical High
$208.93
Univera
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$117.49
Typical High
$229.09

Where New York 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.

New York $105 · 23rd 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.