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Aphasia (Language Ability) Assessment

Vermont 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?

$110

Typical physician fee. In Vermont, October 2026.

Insurers have agreed to pay about $110 for this service. Most negotiated rates run $110 to $120.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $200 · 10th to 90th $200 to $234Professionalmedian $110 · 10th to 90th $83 to $162
$100$200facility $200professional $110

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
Professional
Modifier
None
Typical Low
$100.00
Median
$120.23
Typical High
$120.23
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$50.12
Median
$58.88
Typical High
$58.88
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$19.95
Median
$23.99
Typical High
$23.99
BCBS Vermont
Setting
Facility
Modifier
None
Typical Low
$199.53
Median
$199.53
Typical High
$234.42
Cigna
Setting
Professional
Modifier
None
Typical Low
$83.18
Median
$109.65
Typical High
$114.82
MVP Health Care
Setting
Professional
Modifier
None
Typical Low
$162.18
Median
$162.18
Typical High
$354.81
United
Setting
Professional
Modifier
None
Typical Low
$95.50
Median
$147.91
Typical High
$204.17

Where Vermont 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.

Vermont· 26th of 51

$110

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.