# CPT 92557: Comprehensive audiometry threshold evaluation and speech recognition

Medicare CPT 92557 pays $35.74 in a non-facility setting and $25.72 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $33.41 in Arkansas to $46.61 in Alaska, a 40% spread.

Web page: https://www.med-reveal.com/rates/92557-cpt-fee-schedule
Section: Vision and Hearing Services
Billed by: Otolaryngology

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $35.74 |
| National facility | $25.72 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $46.61 | $35.94 |
| District of Columbia | $39.59 | $27.79 |
| California | $39.12 | $27.26 |
| New Jersey | $38.74 | $27.45 |
| New York | $38.59 | $27.41 |
| Washington | $38.45 | $27.03 |
| Massachusetts | $38.16 | $26.90 |
| Hawaii | $37.70 | $26.31 |
| Connecticut | $37.39 | $26.60 |
| Colorado | $36.89 | $26.23 |
| Maryland | $36.68 | $26.24 |
| Oregon | $36.63 | $26.08 |
| Rhode Island | $36.59 | $26.24 |
| New Hampshire | $36.33 | $25.90 |
| Florida | $36.11 | $26.05 |
| Minnesota | $35.95 | $25.64 |
| Puerto Rico | $35.90 | $25.77 |
| Virgin Islands | $35.90 | $25.77 |
| Montana | $35.74 | $25.72 |
| Nevada | $35.70 | $25.67 |
| Wyoming | $35.65 | $25.63 |
| Pennsylvania | $35.63 | $25.81 |
| Delaware | $35.62 | $25.72 |
| Illinois | $35.60 | $25.91 |
| Texas | $35.59 | $25.72 |
| North Dakota | $35.54 | $25.52 |
| South Dakota | $35.52 | $25.50 |
| Vermont | $35.42 | $25.50 |
| Virginia | $35.38 | $25.53 |
| Arizona | $35.21 | $25.50 |
| Georgia | $35.13 | $25.57 |
| Michigan | $34.94 | $25.53 |
| Maine | $34.93 | $25.36 |
| Wisconsin | $34.86 | $25.26 |
| Utah | $34.78 | $25.36 |
| North Carolina | $34.59 | $25.24 |
| New Mexico | $34.53 | $25.34 |
| South Carolina | $34.52 | $25.26 |
| Missouri | $34.47 | $25.27 |
| Indiana | $34.45 | $25.16 |
| Louisiana | $34.42 | $25.27 |
| Ohio | $34.40 | $25.26 |
| Nebraska | $34.35 | $25.10 |
| Idaho | $34.33 | $25.12 |
| Iowa | $34.23 | $25.06 |
| Tennessee | $34.19 | $25.08 |
| Kansas | $34.10 | $25.04 |
| Oklahoma | $34.02 | $25.07 |
| Kentucky | $34.01 | $25.10 |
| West Virginia | $33.87 | $25.16 |
| Alabama | $33.67 | $24.91 |
| Mississippi | $33.52 | $24.89 |
| Arkansas | $33.41 | $24.80 |

## Related codes

- 92551: Screening test, pure tone, air only — https://www.med-reveal.com/rates/92551-cpt-fee-schedule
- 92552: Pure tone audiometry, air only — https://www.med-reveal.com/rates/92552-cpt-fee-schedule
- 92553: Pure tone audiometry, air and bone — https://www.med-reveal.com/rates/92553-cpt-fee-schedule
- 92555: Speech audiometry threshold — https://www.med-reveal.com/rates/92555-cpt-fee-schedule
- 92556: Speech audiometry threshold with speech recognition — https://www.med-reveal.com/rates/92556-cpt-fee-schedule
- 92561: Bekesy audiometry, diagnostic — https://www.med-reveal.com/rates/92561-cpt-fee-schedule
- 92562: Loudness balance test, alternate binaural or monaural — https://www.med-reveal.com/rates/92562-cpt-fee-schedule
- 92563: Tone decay test — https://www.med-reveal.com/rates/92563-cpt-fee-schedule

Commercial negotiated rates for 92557 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