# CPT 92522: Evaluation of speech sound production

Medicare CPT 92522 pays $111.89 in a non-facility setting and $111.89 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $104.70 in Arkansas to $146.38 in Alaska, a 40% spread.

Web page: https://www.med-reveal.com/rates/92522-cpt-fee-schedule
Section: Rehabilitation and Therapy

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $111.89 |
| National facility | $111.89 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $146.38 | $146.38 |
| District of Columbia | $123.77 | $123.77 |
| California | $122.09 | $122.09 |
| New Jersey | $121.16 | $121.16 |
| New York | $120.78 | $120.78 |
| Washington | $120.13 | $120.13 |
| Massachusetts | $119.25 | $119.25 |
| Hawaii | $117.69 | $117.69 |
| Connecticut | $117.03 | $117.03 |
| Colorado | $115.34 | $115.34 |
| Maryland | $114.80 | $114.80 |
| Oregon | $114.52 | $114.52 |
| Rhode Island | $114.50 | $114.50 |
| New Hampshire | $113.63 | $113.63 |
| Florida | $113.31 | $113.31 |
| Puerto Rico | $112.38 | $112.38 |
| Virgin Islands | $112.38 | $112.38 |
| Minnesota | $112.30 | $112.30 |
| Montana | $111.89 | $111.89 |
| Illinois | $111.77 | $111.77 |
| Nevada | $111.72 | $111.72 |
| Pennsylvania | $111.61 | $111.61 |
| Wyoming | $111.55 | $111.55 |
| Delaware | $111.52 | $111.52 |
| Texas | $111.43 | $111.43 |
| North Dakota | $111.10 | $111.10 |
| South Dakota | $111.01 | $111.01 |
| Vermont | $110.77 | $110.77 |
| Virginia | $110.71 | $110.71 |
| Arizona | $110.26 | $110.26 |
| Georgia | $110.12 | $110.12 |
| Michigan | $109.61 | $109.61 |
| Maine | $109.33 | $109.33 |
| Wisconsin | $109.02 | $109.02 |
| Utah | $108.97 | $108.97 |
| New Mexico | $108.31 | $108.31 |
| North Carolina | $108.30 | $108.30 |
| South Carolina | $108.16 | $108.16 |
| Missouri | $108.05 | $108.05 |
| Louisiana | $107.92 | $107.92 |
| Ohio | $107.86 | $107.86 |
| Indiana | $107.82 | $107.82 |
| Nebraska | $107.49 | $107.49 |
| Idaho | $107.47 | $107.47 |
| Iowa | $107.14 | $107.14 |
| Tennessee | $107.05 | $107.05 |
| Kansas | $106.77 | $106.77 |
| Kentucky | $106.63 | $106.63 |
| Oklahoma | $106.63 | $106.63 |
| West Virginia | $106.39 | $106.39 |
| Alabama | $105.51 | $105.51 |
| Mississippi | $105.09 | $105.09 |
| Arkansas | $104.70 | $104.70 |

## 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
- 92521: Evaluation of speech fluency — https://www.med-reveal.com/rates/92521-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 92522 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