# CPT 92521: Evaluation of speech fluency

Medicare CPT 92521 pays $133.27 in a non-facility setting and $133.27 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $124.91 in Arkansas to $174.31 in Alaska, a 40% spread.

Web page: https://www.med-reveal.com/rates/92521-cpt-fee-schedule
Section: Rehabilitation and Therapy

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $133.27 |
| National facility | $133.27 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $174.31 | $174.31 |
| District of Columbia | $147.69 | $147.69 |
| California | $146.45 | $146.45 |
| New Jersey | $144.47 | $144.47 |
| Washington | $143.69 | $143.69 |
| New York | $143.65 | $143.65 |
| Massachusetts | $142.53 | $142.53 |
| Hawaii | $141.09 | $141.09 |
| Connecticut | $139.31 | $139.31 |
| Colorado | $137.81 | $137.81 |
| Oregon | $136.89 | $136.89 |
| Maryland | $136.74 | $136.74 |
| Rhode Island | $136.57 | $136.57 |
| New Hampshire | $135.61 | $135.61 |
| Minnesota | $134.72 | $134.72 |
| Puerto Rico | $133.90 | $133.90 |
| Virgin Islands | $133.90 | $133.90 |
| Florida | $133.78 | $133.78 |
| Montana | $133.27 | $133.27 |
| Nevada | $133.27 | $133.27 |
| Wyoming | $133.18 | $133.18 |
| North Dakota | $133.07 | $133.07 |
| South Dakota | $133.05 | $133.05 |
| Delaware | $132.91 | $132.91 |
| Pennsylvania | $132.78 | $132.78 |
| Texas | $132.76 | $132.76 |
| Vermont | $132.52 | $132.52 |
| Virginia | $132.18 | $132.18 |
| Illinois | $131.88 | $131.88 |
| Arizona | $131.42 | $131.42 |
| Georgia | $130.78 | $130.78 |
| Wisconsin | $130.60 | $130.60 |
| Maine | $130.56 | $130.56 |
| Michigan | $129.86 | $129.86 |
| Utah | $129.75 | $129.75 |
| North Carolina | $129.26 | $129.26 |
| Indiana | $128.86 | $128.86 |
| South Carolina | $128.80 | $128.80 |
| Nebraska | $128.59 | $128.59 |
| New Mexico | $128.51 | $128.51 |
| Missouri | $128.48 | $128.48 |
| Idaho | $128.44 | $128.44 |
| Louisiana | $128.23 | $128.23 |
| Ohio | $128.22 | $128.22 |
| Iowa | $128.13 | $128.13 |
| Tennessee | $127.83 | $127.83 |
| Kansas | $127.52 | $127.52 |
| Oklahoma | $126.98 | $126.98 |
| Kentucky | $126.79 | $126.79 |
| Alabama | $125.86 | $125.86 |
| West Virginia | $125.80 | $125.80 |
| Mississippi | $125.10 | $125.10 |
| Arkansas | $124.91 | $124.91 |

## Related codes

- 92507: Treatment of speech, language, voice, communication disorder, individual — https://www.med-reveal.com/rates/92507-cpt-fee-schedule
- 92508: Treatment of speech, language, voice, communication disorder, group — https://www.med-reveal.com/rates/92508-cpt-fee-schedule
- 92522: Evaluation of speech sound production — https://www.med-reveal.com/rates/92522-cpt-fee-schedule
- 92523: Evaluation of speech sound production with evaluation of language comprehension — https://www.med-reveal.com/rates/92523-cpt-fee-schedule
- 92524: Behavioral/qualitative analysis of voice and resonance — https://www.med-reveal.com/rates/92524-cpt-fee-schedule
- 92526: Treatment of swallowing dysfunction and/or oral function for feeding — https://www.med-reveal.com/rates/92526-cpt-fee-schedule
- 92597: Evaluation for use/fitting of voice prosthetic device — https://www.med-reveal.com/rates/92597-cpt-fee-schedule
- 92607: Evaluation for prescription of speech-generating device, first hour — https://www.med-reveal.com/rates/92607-cpt-fee-schedule

Commercial negotiated rates for 92521 by payer and state: https://www.med-reveal.com/solutions/rate-benchmarking

## Sources

- CMS Medicare fee schedules (2026 Q4): https://www.cms.gov/medicare/payment/fee-schedules