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Aphasia (Language Ability) Assessment

South Dakota 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?

$120

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $120 for this service. The price depends on where it is billed: about $123 from a physician practice, and about $105 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 7 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$123$97.72 to $158
FacilityA hospital or hospital-owned outpatient department$105$93.33 to $195

How much rates vary

Facilitymedian $105 · 10th to 90th $79 to $229Professionalmedian $123 · 10th to 90th $93 to $186
$100.0$200.0$500.0facility $105professional $123

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
$104.71
Median
$104.71
Typical High
$104.71
Aetna
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$97.72
Typical High
$134.90
Cigna
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$144.54
Typical High
$147.91
Medica
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$100.00
Typical High
$229.09
Medica
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$162.18
Typical High
$446.68
Midlands
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$204.17
Typical High
$223.87
Midlands
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$199.53
Typical High
$239.88
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$151.36
Typical High
$186.21
United
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$112.20
Typical High
$112.20
United
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$177.83
Typical High
$269.15
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$151.36
Typical High
$186.21

Where South Dakota 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.

South Dakota $120 · 11th 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.