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Aphasia (Language Ability) Assessment

West 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 October 2026.

How much does Aphasia (Language Ability) Assessment cost?

$95.50

Typical physician fee. In West Virginia, October 2026.

Insurers have agreed to pay about $95.50 for this service. Most negotiated rates run $83.18 to $95.50.

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 $78 · 10th to 90th $78 to $162Professionalmedian $95 · 10th to 90th $71 to $158
$100$200$500facility $78professional $95

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
$95.50
Median
$95.50
Typical High
$95.50
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$47.86
Median
$47.86
Typical High
$47.86
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$19.05
Median
$19.05
Typical High
$19.05
CareSource
Setting
Professional
Modifier
None
Typical Low
$107.15
Median
$107.15
Typical High
$107.15
Cigna
Setting
Facility
Modifier
None
Typical Low
$162.18
Median
$162.18
Typical High
$162.18
Cigna
Setting
Professional
Modifier
None
Typical Low
$79.43
Median
$95.50
Typical High
$218.78
United
Setting
Facility
Modifier
None
Typical Low
$77.62
Median
$77.62
Typical High
$77.62
United
Setting
Professional
Modifier
None
Typical Low
$61.66
Median
$85.11
Typical High
$158.49
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
Highmark BCBS
Setting
Facility
Modifier
GN · Speech therapy plan
Typical Low
$169.82
Median
$169.82
Typical High
$169.82

Where West Virginia 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.

West Virginia· 40th of 51

$95.50

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.