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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 July 2026.

How much does Aphasia (Language Ability) Assessment cost?

$95.50

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $95.50 for this service. The price depends on where it is billed: about $95.50 from a physician practice, and about $95.50 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 4 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$95.50$93.33 to $151
FacilityA hospital or hospital-owned outpatient department$95.50$95.50 to $97.72

How much rates vary

Facilitymedian $95 · 10th to 90th $95 to $162Professionalmedian $95 · 10th to 90th $93 to $204
$100$200$500facility $95professional $95

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. 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
Global
Typical Low
$95.50
Median
$95.50
Typical High
$95.50
Aetna
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$95.50
Typical High
$204.17
CareSource
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$102.33
Typical High
$120.23
CareSource
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$107.15
Typical High
$107.15
Cigna
Setting
Facility
Modifier
Global
Typical Low
$95.50
Median
$162.18
Typical High
$162.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$134.90
Typical High
$467.74
United
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$97.72
Typical High
$144.54
United
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$93.33
Typical High
$144.54

Where West 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.

West Virginia· 45th of 51

$95.50

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.