# CPT 92541: Spontaneous Nystagmus Test

Medicare CPT 92541 pays $24.72 in a non-facility setting and $24.72 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $22.84 in Arkansas to $31.65 in Alaska, a 39% spread.

Web page: https://www.med-reveal.com/rates/92541-cpt-fee-schedule
Section: Medical and Therapeutic Services
Billed by: Otolaryngology

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $24.72 |
| National facility | $24.72 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $31.65 | $31.65 |
| District of Columbia | $27.46 | $27.46 |
| California | $26.90 | $26.90 |
| New York | $26.85 | $26.85 |
| New Jersey | $26.84 | $26.84 |
| Washington | $26.53 | $26.53 |
| Massachusetts | $26.35 | $26.35 |
| Connecticut | $25.97 | $25.97 |
| Hawaii | $25.95 | $25.95 |
| Colorado | $25.43 | $25.43 |
| Maryland | $25.41 | $25.41 |
| Florida | $25.39 | $25.39 |
| Rhode Island | $25.26 | $25.26 |
| Oregon | $25.23 | $25.23 |
| New Hampshire | $25.09 | $25.09 |
| Illinois | $25.00 | $25.00 |
| Puerto Rico | $24.83 | $24.83 |
| Virgin Islands | $24.83 | $24.83 |
| Montana | $24.72 | $24.72 |
| Pennsylvania | $24.66 | $24.66 |
| Nevada | $24.62 | $24.62 |
| Delaware | $24.58 | $24.58 |
| Minnesota | $24.57 | $24.57 |
| Texas | $24.57 | $24.57 |
| Wyoming | $24.54 | $24.54 |
| Georgia | $24.36 | $24.36 |
| Virginia | $24.33 | $24.33 |
| Michigan | $24.32 | $24.32 |
| North Dakota | $24.32 | $24.32 |
| Arizona | $24.28 | $24.28 |
| Vermont | $24.28 | $24.28 |
| South Dakota | $24.27 | $24.27 |
| Utah | $23.99 | $23.99 |
| Maine | $23.98 | $23.98 |
| New Mexico | $23.94 | $23.94 |
| Missouri | $23.80 | $23.80 |
| Louisiana | $23.79 | $23.79 |
| Wisconsin | $23.79 | $23.79 |
| South Carolina | $23.78 | $23.78 |
| Ohio | $23.76 | $23.76 |
| North Carolina | $23.74 | $23.74 |
| Indiana | $23.57 | $23.57 |
| West Virginia | $23.56 | $23.56 |
| Idaho | $23.48 | $23.48 |
| Nebraska | $23.45 | $23.45 |
| Kentucky | $23.44 | $23.44 |
| Tennessee | $23.40 | $23.40 |
| Oklahoma | $23.39 | $23.39 |
| Iowa | $23.38 | $23.38 |
| Kansas | $23.33 | $23.33 |
| Alabama | $23.05 | $23.05 |
| Mississippi | $23.01 | $23.01 |
| Arkansas | $22.84 | $22.84 |

## Related codes

- 90632: Hepa Vaccine Adult Dose for Intramuscular Use — https://www.med-reveal.com/rates/90632-cpt-fee-schedule
- 90633: Hepa Vaccine 2 Dose Schedule Ped/adolesc Im Use — https://www.med-reveal.com/rates/90633-cpt-fee-schedule
- 90647: Hib Prp-omp Vaccine 3 Dose Schedule Im Use — https://www.med-reveal.com/rates/90647-cpt-fee-schedule
- 90648: Hib Prp-t Vaccine 4 Dose Schedule Im Use — https://www.med-reveal.com/rates/90648-cpt-fee-schedule
- 90680: Rv5 Vaccine 3 Dose Schedule Live for Oral Use — https://www.med-reveal.com/rates/90680-cpt-fee-schedule
- 90681: Rv1 Vaccine 2 Dose Schedule Live for Oral Use — https://www.med-reveal.com/rates/90681-cpt-fee-schedule
- 90698: Dtap-ipv/hib Vaccine for Intramuscular Use — https://www.med-reveal.com/rates/90698-cpt-fee-schedule
- 90710: Measles Mumps Rubella Varicella Vacc Live Subq — https://www.med-reveal.com/rates/90710-cpt-fee-schedule

Commercial negotiated rates for 92541 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