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Aphasia (Language Ability) Assessment

Virginia 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 Virginia, 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 $112 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 8 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$93.33 to $120
FacilityA hospital or hospital-owned outpatient department$112$93.33 to $145

How much rates vary

Facilitymedian $112 · 10th to 90th $76 to $275Professionalmedian $102 · 10th to 90th $85 to $151
$100$200$500$1K$2K$5K$10Kfacility $112professional $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
$93.33
Median
$112.20
Typical High
$436.52
Aetna
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$97.72
Typical High
$123.03
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$117.49
Typical High
$162.18
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$104.71
Typical High
$144.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$72.44
Median
$114.82
Typical High
$302.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$117.49
Typical High
$190.55
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$102.33
Typical High
$125.89
Medcost
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$102.33
Typical High
$117.49
Medcost
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$112.20
Typical High
$169.82
Sentara
Setting
Facility
Modifier
Global
Typical Low
$67.61
Median
$104.71
Typical High
$489.78
Sentara
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$104.71
Typical High
$489.78
United
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$107.15
Typical High
$112.20
United
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$104.71
Typical High
$181.97

Where Virginia sits

The same service costs 2.5 times more in Alaska than in New Mexico. 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.

Virginia· 24th of 51

$105

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.