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Aphasia (Language Ability) Assessment

Tennessee 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?

$100

Typical physician fee. In Tennessee, October 2026.

Insurers have agreed to pay about $100 for this service. Most negotiated rates run $91.20 to $174.

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 $102 · 10th to 90th $93 to $302Professionalmedian $100 · 10th to 90th $81 to $617
$100$200$500facility $102professional $100

Distribution of negotiated rates across all payers (price axis is log-scale). 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
None
Typical Low
$93.33
Median
$102.33
Typical High
$102.33
Aetna
Setting
Professional
Modifier
None
Typical Low
$91.20
Median
$97.72
Typical High
$128.82
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$45.71
Median
$47.86
Typical High
$64.57
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$18.62
Median
$19.50
Typical High
$25.70
BCBS Tennessee
Setting
Professional
Modifier
None
Typical Low
$81.28
Median
$107.15
Typical High
$213.80
Cigna
Setting
Facility
Modifier
None
Typical Low
$186.21
Median
$257.04
Typical High
$302.00
Cigna
Setting
Professional
Modifier
None
Typical Low
$72.44
Median
$91.20
Typical High
$151.36
Lucent Health
Setting
Professional
Modifier
None
Typical Low
$616.60
Median
$616.60
Typical High
$812.83
United
Setting
Professional
Modifier
None
Typical Low
$74.13
Median
$100.00
Typical High
$173.78
1 more rate 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
Ambetter
Setting
Professional
Modifier
GN · Speech therapy plan
Typical Low
$74.13
Median
$74.13
Typical High
$74.13

Where Tennessee 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.

Tennessee· 33rd of 51

$100

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.