# CPT 92523: Evaluation of speech sound production with evaluation of language comprehension

Medicare CPT 92523 pays $226.46 in a non-facility setting and $226.46 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $212.50 in Arkansas to $296.80 in Alaska, a 40% spread.

Web page: https://www.med-reveal.com/rates/92523-cpt-fee-schedule
Section: Rehabilitation and Therapy

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $226.46 |
| National facility | $226.46 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $296.80 | $296.80 |
| District of Columbia | $250.84 | $250.84 |
| California | $248.84 | $248.84 |
| New Jersey | $245.42 | $245.42 |
| Washington | $244.13 | $244.13 |
| New York | $243.97 | $243.97 |
| Massachusetts | $242.15 | $242.15 |
| Hawaii | $239.72 | $239.72 |
| Connecticut | $236.63 | $236.63 |
| Colorado | $234.19 | $234.19 |
| Oregon | $232.63 | $232.63 |
| Maryland | $232.31 | $232.31 |
| Rhode Island | $232.09 | $232.09 |
| New Hampshire | $230.43 | $230.43 |
| Minnesota | $229.06 | $229.06 |
| Puerto Rico | $227.53 | $227.53 |
| Virgin Islands | $227.53 | $227.53 |
| Florida | $227.10 | $227.10 |
| Nevada | $226.50 | $226.50 |
| Montana | $226.46 | $226.46 |
| Wyoming | $226.37 | $226.37 |
| North Dakota | $226.26 | $226.26 |
| South Dakota | $226.24 | $226.24 |
| Delaware | $225.89 | $225.89 |
| Pennsylvania | $225.63 | $225.63 |
| Texas | $225.62 | $225.62 |
| Vermont | $225.31 | $225.31 |
| Virginia | $224.70 | $224.70 |
| Illinois | $223.91 | $223.91 |
| Arizona | $223.38 | $223.38 |
| Georgia | $222.21 | $222.21 |
| Wisconsin | $222.12 | $222.12 |
| Maine | $221.98 | $221.98 |
| Michigan | $220.63 | $220.63 |
| Utah | $220.55 | $220.55 |
| North Carolina | $219.78 | $219.78 |
| Indiana | $219.14 | $219.14 |
| South Carolina | $218.97 | $218.97 |
| Nebraska | $218.71 | $218.71 |
| Idaho | $218.45 | $218.45 |
| New Mexico | $218.40 | $218.40 |
| Missouri | $218.39 | $218.39 |
| Louisiana | $217.96 | $217.96 |
| Ohio | $217.95 | $217.95 |
| Iowa | $217.94 | $217.94 |
| Tennessee | $217.40 | $217.40 |
| Kansas | $216.90 | $216.90 |
| Oklahoma | $215.91 | $215.91 |
| Kentucky | $215.57 | $215.57 |
| Alabama | $214.08 | $214.08 |
| West Virginia | $213.78 | $213.78 |
| Mississippi | $212.77 | $212.77 |
| Arkansas | $212.50 | $212.50 |

## 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
- 92522: Evaluation of speech sound production — https://www.med-reveal.com/rates/92522-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 92523 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