CPT code 96105: Aphasia assessment, per hour2026 Medicare rate & RVUs in South Carolina
Report 96105 for an hourly assessment of language impairment consistent with aphasia, including interpretation and a written report.
In South Carolina, Medicare pays $94.13 for 96105 in the office.
Check a contract rate as a % of Medicare · 96105 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
What 96105 covers
A speech-language pathologist commonly performs this assessment when a patient has difficulty communicating after a stroke, brain injury, or another neurologic condition. The evaluation focuses on language abilities affected by aphasia, such as understanding or expressing spoken or written language. It may use structured tasks or standardized assessment tools, with results interpreted in the context of the patient’s communication needs.
Report 96105 for the assessment service on an hourly basis. Documentation should identify the language functions assessed, the methods or tools used, the findings, and the time spent on the assessment. Interpretation and the resulting report are part of this service, rather than separate 96105 units. CMS prices the code through the physician fee schedule; the code’s hourly basis and the documented service support its reporting.
This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.
How South Carolina compares for 96105
Across 109 of 109 payment localities, the office rate for 96105 runs from $91.16 in Arkansas to $128.08 in Alaska. South Carolina pays $94.13. The RVUs are the same everywhere; the geographic indexes change the dollars.
- South Carolina · this page$94.13
- Los Angeles, CA · California$105.82+$11.69
- Washington, DC area · District of Columbia$107.14+$13.01
- Miami, FL · Florida$101.27+$7.14
- Chicago, IL · Illinois$99.95+$5.82
- Manhattan, NY · New York$107.92+$13.79
- Alaska · Alaska$128.08+$33.95
Other areas in South Carolina first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $91.84 | — |
| ArkansasArkansas | $91.16 | — |
| ArizonaArizona | $95.81 | — |
| Bakersfield, CACalifornia | $101.21 | — |
| Chico, CACalifornia | $100.97 | — |
| El Centro, CACalifornia | $100.98 | — |
| Fresno, CACalifornia | $100.97 | — |
| Hanford, CACalifornia | $100.97 | — |
| Madera, CACalifornia | $100.97 | — |
| Merced, CACalifornia | $100.97 | — |
| Modesto, CACalifornia | $100.97 | — |
| Napa, CACalifornia | $111.85 | — |
| Oxnard, CACalifornia | $104.95 | — |
| Redding, CACalifornia | $100.97 | — |
| Rest of CaliforniaCalifornia | $100.97 | — |
| Riverside, CACalifornia | $101.56 | — |
| Sacramento, CACalifornia | $104.57 | — |
| Salinas, CACalifornia | $104.13 | — |
| San Diego, CACalifornia | $105.45 | — |
| Marin County, CACalifornia | $117.05 | — |
| San Francisco, CACalifornia | $116.99 | — |
| San Benito County, CACalifornia | $119.24 | — |
| Santa Clara County, CACalifornia | $119.01 | — |
| San Luis Obispo, CACalifornia | $102.57 | — |
| Santa Cruz, CACalifornia | $105.62 | — |
| Santa Maria, CACalifornia | $104.21 | — |
| Santa Rosa, CACalifornia | $106.63 | — |
| Stockton, CACalifornia | $100.97 | — |
| Vallejo, CACalifornia | $111.77 | — |
| Visalia, CACalifornia | $100.97 | — |
| Yuba City, CACalifornia | $100.97 | — |
| ColoradoColorado | $99.91 | — |
| ConnecticutConnecticut | $101.57 | — |
| DelawareDelaware | $96.88 | — |
| Fort Lauderdale, FLFlorida | $99.03 | — |
| Rest of FloridaFlorida | $96.41 | — |
| Atlanta, GAGeorgia | $98.30 | — |
| Rest of GeorgiaGeorgia | $93.51 | — |
| Hawaii, Guam, HIHawaii | $101.57 | — |
| IowaIowa | $93.04 | — |
| IdahoIdaho | $93.35 | — |
| East St. Louis, ILIllinois | $95.92 | — |
| Rest of IllinoisIllinois | $94.91 | — |
| Suburban Chicago, ILIllinois | $99.90 | — |
| IndianaIndiana | $93.63 | — |
| KansasKansas | $92.81 | — |
| KentuckyKentucky | $92.94 | — |
| New Orleans, LALouisiana | $95.24 | — |
| Rest of LouisianaLouisiana | $92.86 | — |
| Metropolitan Boston, MAMassachusetts | $106.60 | — |
| Rest of MassachusettsMassachusetts | $99.76 | — |
| Baltimore area, MDMaryland | $101.23 | — |
| Rest of MarylandMaryland | $98.09 | — |
| Rest of MaineMaine | $93.60 | — |
| Southern Maine, MEMaine | $96.25 | — |
| Detroit, MIMichigan | $97.04 | — |
| Rest of MichiganMichigan | $94.19 | — |
| MinnesotaMinnesota | $97.10 | — |
| Metropolitan Kansas City, MOMissouri | $94.90 | — |
| Metropolitan St. Louis, MOMissouri | $95.42 | — |
| Rest of MissouriMissouri | $92.04 | — |
| MississippiMississippi | $91.61 | — |
| MontanaMontana | $97.19 | — |
| North CarolinaNorth Carolina | $94.11 | — |
| North DakotaNorth Dakota | $96.20 | — |
| NebraskaNebraska | $93.30 | — |
| New HampshireNew Hampshire | $98.51 | — |
| Northern New JerseyNew Jersey | $106.92 | — |
| Rest of New JerseyNew Jersey | $103.11 | — |
| New MexicoNew Mexico | $94.46 | — |
| NevadaNevada | $96.95 | — |
| NYC suburbs and Long Island, NYNew York | $109.38 | — |
| Poughkeepsie and northern NYC suburbs, NYNew York | $103.70 | — |
| Queens, NYNew York | $108.42 | — |
| Rest of New YorkNew York | $94.85 | — |
| OhioOhio | $93.98 | — |
| OklahomaOklahoma | $92.86 | — |
| Portland, OROregon | $101.82 | — |
| Rest of OregonOregon | $96.55 | — |
| Metropolitan Philadelphia, PAPennsylvania | $100.09 | — |
| Rest of PennsylvaniaPennsylvania | $94.06 | — |
| Puerto RicoPuerto Rico | $97.58 | — |
| Rhode IslandRhode Island | $99.35 | — |
| South DakotaSouth Dakota | $96.09 | — |
| TennesseeTennessee | $93.05 | — |
| Austin, TXTexas | $99.27 | — |
| Beaumont, TXTexas | $93.74 | — |
| Brazoria, TXTexas | $96.96 | — |
| Dallas, TXTexas | $97.34 | — |
| Fort Worth, TXTexas | $96.99 | — |
| Galveston, TXTexas | $97.12 | — |
| Houston, TXTexas | $98.03 | — |
| Rest of TexasTexas | $95.14 | — |
| UtahUtah | $94.80 | — |
| VirginiaVirginia | $96.08 | — |
| Virgin Islands, VIUnited States Virgin Islands | $97.58 | — |
| VermontVermont | $96.00 | — |
| Rest of WashingtonWashington | $99.52 | — |
| King County, WAWashington | $108.23 | — |
| WisconsinWisconsin | $94.48 | — |
| West VirginiaWest Virginia | $93.06 | — |
| WyomingWyoming | $96.76 | — |
96105 rates by state
Office rate range in each state. Select a state to see its payment localities.
Explore a state
Local rates. Clear comparisons.
Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.
$91.16
$128.08
Color shows the midpoint of each state’s locality range.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $128.08 | 1 |
| AL | $91.84 | 1 |
| AR | $91.16 | 1 |
| AZ | $95.81 | 1 |
| CA | $100.97–$119.24 | 29 |
| CO | $99.91 | 1 |
| CT | $101.57 | 1 |
| DC | $107.14 | 1 |
| DE | $96.88 | 1 |
| FL | $96.41–$101.27 | 3 |
| GA | $93.51–$98.30 | 2 |
| GU | $101.57 | 1 |
| HI | $101.57 | 1 |
| IA | $93.04 | 1 |
| ID | $93.35 | 1 |
| IL | $94.91–$99.95 | 4 |
| IN | $93.63 | 1 |
| KS | $92.81 | 1 |
| KY | $92.94 | 1 |
| LA | $92.86–$95.24 | 2 |
| MA | $99.76–$106.60 | 2 |
| MD | $98.09–$107.14 | 3 |
| ME | $93.60–$96.25 | 2 |
| MI | $94.19–$97.04 | 2 |
| MN | $97.10 | 1 |
| MO | $92.04–$95.42 | 3 |
| MS | $91.61 | 1 |
| MT | $97.19 | 1 |
| NC | $94.11 | 1 |
| ND | $96.20 | 1 |
| NE | $93.30 | 1 |
| NH | $98.51 | 1 |
| NJ | $103.11–$106.92 | 2 |
| NM | $94.46 | 1 |
| NV | $96.95 | 1 |
| NY | $94.85–$109.38 | 5 |
| OH | $93.98 | 1 |
| OK | $92.86 | 1 |
| OR | $96.55–$101.82 | 2 |
| PA | $94.06–$100.09 | 2 |
| PR | $97.58 | 1 |
| RI | $99.35 | 1 |
| SC | $94.13 | 1 |
| SD | $96.09 | 1 |
| TN | $93.05 | 1 |
| TX | $93.74–$99.27 | 8 |
| UT | $94.80 | 1 |
| VA | $96.08–$107.14 | 2 |
| VI | $97.58 | 1 |
| VT | $96.00 | 1 |
| WA | $99.52–$108.23 | 2 |
| WI | $94.48 | 1 |
| WV | $93.06 | 1 |
| WY | $96.76 | 1 |
How the 96105 rate is calculated
Each of 96105’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 96105
RVUs × geographic indexes × conversion factor
Work1.75
1.75 RVUs× 1.000 GPCI
Practice expense1.11
1.11 RVUs× 1.000 GPCI
Malpractice0.05
0.05 RVUs× 1.000 GPCI
Adjusted RVUs
2.9100
Conversion factor
$33.4009
Medicare rate
$97.20
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact South Carolina inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
12,747
- Code
- 96105
- Physician work
- 1.75
- Practice expense
- 1.11
- Malpractice
- 0.05
GPCI2026.csv
93
- Locality
- South Carolina
- Physician work
- 1.000
- Practice expense
- 0.924
- Malpractice
- 0.850
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.75 | × 1.000 | 1.7500 |
| Practice expense | 1.11 | × 0.924 | 1.0256 |
| Malpractice | 0.05 | × 0.850 | 0.0425 |
| Total RVUs | 2.8181 | ||
| Conversion factor | × 33.4009 | ||
Office rate, South Carolina$94.13
Office: (1.75 × 1 + 1.11 × 0.924 + 0.05 × 0.85) × $33.4009 = $94.13
Payment rules and modifiers for 96105
96105 has no global surgery period, no multiple-procedure, bilateral or assistant-at-surgery adjustment, and no professional/technical split. What changes the payment is where the service happens: the place of service on the claim decides whether Medicare pays the office or the facility rate.
Place of service · 96105
Which rate does Medicare pay?
The POS code on the claim line (CMS-1500 box 24B).
POS 11 · non-facility rate · national
$97.20
Higher because the practice carries its own overhead.
How 96105 has changed in South Carolina
96105 · Office / nonfacility
$94.13
Effective 2026-10-01
The base rate is $3.75 higher than on 2025-10-01, moving from $90.38 to $94.13 (4.1%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.
What changed, release by release
January 1, 2026
RVU26A
$90.38changed to$94.13
- Conversion factor 32.3465 changed to 33.4009
- Practice expense RVU 1.09 changed to 1.11
- Malpractice RVU 0.06 changed to 0.05
- Practice expense GPCI 0.913 changed to 0.924
- Malpractice GPCI 0.817 changed to 0.850
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$92.37changed to$90.38
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 1.06 changed to 1.09
- Malpractice RVU 0.07 changed to 0.06
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$90.86changed to$92.37
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$94.17changed to$90.86
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 1.05 changed to 1.06
- Malpractice RVU 0.10 changed to 0.07
- Practice expense GPCI 0.908 changed to 0.913
- Malpractice GPCI 0.756 changed to 0.817
January 1, 2023
RVU23A
$95.47changed to$94.17
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 1.04 changed to 1.05
- Practice expense GPCI 0.903 changed to 0.908
- Malpractice GPCI 0.695 changed to 0.756
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$96.89changed to$95.47
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 1.06 changed to 1.04
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$100.86changed to$96.89
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 1.09 changed to 1.06
- Malpractice RVU 0.09 changed to 0.10
- Practice expense GPCI 0.907 changed to 0.903
- Malpractice GPCI 0.624 changed to 0.695
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$101.67changed to$100.86
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 1.12 changed to 1.09
- Practice expense GPCI 0.912 changed to 0.907
- Malpractice GPCI 0.553 changed to 0.624
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$105.43changed to$101.67
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 1.25 changed to 1.12
- Malpractice RVU 0.07 changed to 0.09
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$104.33changed to$105.43
- Conversion factor 35.8887 changed to 35.9996
- Practice expense RVU 1.22 changed to 1.25
- Malpractice GPCI 0.634 changed to 0.553
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$103.89changed to$104.33
- Conversion factor 35.8043 changed to 35.8887
- Practice expense RVU 1.20 changed to 1.22
- Malpractice RVU 0.08 changed to 0.07
- Malpractice GPCI 0.715 changed to 0.634
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$101.06changed to$103.89
- Conversion factor 35.9335 changed to 35.8043
- Practice expense RVU 1.11 changed to 1.20
- Malpractice RVU 0.07 changed to 0.08
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$100.56changed to$101.06
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$97.84changed to$100.56
- Conversion factor 35.8228 changed to 35.7547
- Practice expense RVU 1.05 changed to 1.11
- Malpractice RVU 0.04 changed to 0.07
- Practice expense GPCI 0.911 changed to 0.912
- Malpractice GPCI 0.618 changed to 0.715
Held through RVU15B.
January 1, 2014
RVU14A
$90.56changed to$97.84
- Conversion factor 34.0230 changed to 35.8228
- Practice expense RVU 0.98 changed to 1.05
- Practice expense GPCI 0.909 changed to 0.911
- Malpractice GPCI 0.520 changed to 0.618
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: $90.56
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $94.13 | Not available in this setting | RVU26D |
| 2026-07-01 | $94.13 | Not available in this setting | RVU26C |
| 2026-04-01 | $94.13 | Not available in this setting | RVU26B |
| 2026-01-01 | $94.13 | Not available in this setting | RVU26A |
| 2025-10-01 | $90.38 | Not available in this setting | RVU25D |
| 2025-07-01 | $90.38 | Not available in this setting | RVU25C |
| 2025-04-01 | $90.38 | Not available in this setting | RVU25B |
| 2025-01-01 | $90.38 | Not available in this setting | RVU25A |
| 2024-10-01 | $92.37 | Not available in this setting | RVU24D |
| 2024-07-01 | $92.37 | Not available in this setting | RVU24C |
| 2024-04-01 | $92.37 | Not available in this setting | RVU24B |
| 2024-03-09 | $92.37 | Not available in this setting | RVU24AR |
| 2024-01-01 | $90.86 | Not available in this setting | RVU24A |
| 2023-10-01 | $94.17 | Not available in this setting | RVU23D |
| 2023-07-01 | $94.17 | Not available in this setting | RVU23C |
| 2023-04-01 | $94.17 | Not available in this setting | RVU23B |
| 2023-01-01 | $94.17 | Not available in this setting | RVU23A |
| 2022-10-01 | $95.47 | Not available in this setting | RVU22D |
| 2022-07-01 | $95.47 | Not available in this setting | RVU22C |
| 2022-04-01 | $95.47 | Not available in this setting | RVU22B |
| 2022-01-01 | $95.47 | Not available in this setting | RVU22A |
| 2021-10-01 | $96.89 | Not available in this setting | RVU21D |
| 2021-07-01 | $96.89 | Not available in this setting | RVU21C |
| 2021-04-01 | $96.89 | Not available in this setting | RVU21B |
| 2021-01-01 | $96.89 | Not available in this setting | RVU21A |
| 2020-10-01 | $100.86 | Not available in this setting | RVU20D |
| 2020-07-01 | $100.86 | Not available in this setting | RVU20C |
| 2020-04-01 | $100.86 | Not available in this setting | RVU20B |
| 2020-01-01 | $100.86 | Not available in this setting | RVU20A |
| 2019-10-01 | $101.67 | Not available in this setting | RVU19D |
| 2019-07-01 | $101.67 | Not available in this setting | RVU19C |
| 2019-04-01 | $101.67 | Not available in this setting | RVU19B |
| 2019-01-01 | $101.67 | Not available in this setting | RVU19A |
| 2018-10-01 | $105.43 | Not available in this setting | RVU18D |
| 2018-07-01 | $105.43 | Not available in this setting | RVU18C |
| 2018-04-01 | $105.43 | Not available in this setting | RVU18B |
| 2018-01-01 | $105.43 | Not available in this setting | RVU18AR1 |
| 2017-10-01 | $104.33 | Not available in this setting | RVU17D |
| 2017-07-01 | $104.33 | Not available in this setting | RVU17C |
| 2017-04-01 | $104.33 | Not available in this setting | RVU17B |
| 2017-01-01 | $104.33 | Not available in this setting | RVU17A |
| 2016-10-01 | $103.89 | Not available in this setting | RVU16D |
| 2016-07-01 | $103.89 | Not available in this setting | RVU16C |
| 2016-04-01 | $103.89 | Not available in this setting | RVU16B |
| 2016-01-01 | $103.89 | Not available in this setting | RVU16A |
| 2015-10-01 | $101.06 | Not available in this setting | RVU15D |
| 2015-07-01 | $101.06 | Not available in this setting | RVU15C |
| 2015-04-01 | $100.56 | Not available in this setting | RVU15B |
| 2015-01-01 | $100.56 | Not available in this setting | RVU15A |
| 2014-10-01 | $97.84 | Not available in this setting | RVU14D |
| 2014-07-01 | $97.84 | Not available in this setting | RVU14C |
| 2014-04-01 | $97.84 | Not available in this setting | RVU14B |
| 2014-01-01 | $97.84 | Not available in this setting | RVU14A |
| 2013-10-01 | $90.56 | Not available in this setting | RVU13D |
| 2013-07-01 | $90.56 | Not available in this setting | RVU13C |
| 2013-04-01 | $90.56 | Not available in this setting | RVU13B |
| 2013-01-01 | $90.56 | Not available in this setting | RVU13AR |
Where the South Carolina rate applies
South Carolina is a Medicare payment area, not a city. Our Census mapping connects it to 475 cities and communities in South Carolina. Some span more than one payment area; confirm with the service ZIP.
- Abbeville
- Abney Crossroads
- Adams Run
- Aiken
- Alcolu
- Allendale
- Anderson
- Andrews
96105 billing questions
When should I report 96105 instead of cognitive testing?
Use 96105 when the service assesses language impairment associated with aphasia. Cognitive testing under 96125 addresses cognitive abilities rather than an aphasia-focused language assessment.
Is interpretation and the report separately billable under 96105?
Interpretation and the report are included in the hourly aphasia assessment. They do not constitute separate 96105 services.
How should the assessment time be documented?
Record the time attributable to the aphasia assessment and describe the language functions evaluated, methods used, findings, and interpretation. Report the service on an hourly basis.
Can 96105 be reported for a general speech-language evaluation?
Use 96105 when the service is specifically an assessment of aphasia. A broader speech-language evaluation, such as one evaluating speech sound production and language comprehension or expression, may fit a different code.
Who typically performs the assessment?
A speech-language pathologist commonly performs an aphasia assessment, including for patients with communication changes following stroke or brain injury.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
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