# CPT 92563: Tone decay test

Medicare CPT 92563 pays $35.74 in a non-facility setting and $35.74 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $30.58 in Arkansas to $42.08 in District of Columbia, a 38% spread.

Web page: https://www.med-reveal.com/rates/92563-cpt-fee-schedule
Section: Vision and Hearing Services

## Medicare rates

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

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| District of Columbia | $42.08 | $42.08 |
| California | $42.07 | $42.07 |
| Washington | $40.63 | $40.63 |
| Hawaii | $40.45 | $40.45 |
| New Jersey | $40.23 | $40.23 |
| Massachusetts | $40.06 | $40.06 |
| New York | $39.95 | $39.95 |
| Connecticut | $38.54 | $38.54 |
| Colorado | $37.93 | $37.93 |
| Alaska | $37.89 | $37.89 |
| Oregon | $37.54 | $37.54 |
| Maryland | $37.27 | $37.27 |
| New Hampshire | $37.15 | $37.15 |
| Rhode Island | $36.87 | $36.87 |
| Minnesota | $36.53 | $36.53 |
| Florida | $36.17 | $36.17 |
| Puerto Rico | $36.12 | $36.12 |
| Virgin Islands | $36.12 | $36.12 |
| Montana | $35.74 | $35.74 |
| Nevada | $35.72 | $35.72 |
| Wyoming | $35.65 | $35.65 |
| North Dakota | $35.54 | $35.54 |
| South Dakota | $35.52 | $35.52 |
| Delaware | $35.28 | $35.28 |
| Vermont | $35.22 | $35.22 |
| Texas | $35.17 | $35.17 |
| Pennsylvania | $35.04 | $35.04 |
| Virginia | $35.04 | $35.04 |
| Illinois | $34.85 | $34.85 |
| Arizona | $34.59 | $34.59 |
| Georgia | $34.17 | $34.17 |
| Maine | $34.04 | $34.04 |
| Wisconsin | $34.02 | $34.02 |
| Michigan | $33.72 | $33.72 |
| Utah | $33.58 | $33.58 |
| North Carolina | $33.25 | $33.25 |
| South Carolina | $33.00 | $33.00 |
| Indiana | $32.98 | $32.98 |
| New Mexico | $32.87 | $32.87 |
| Missouri | $32.82 | $32.82 |
| Nebraska | $32.81 | $32.81 |
| Idaho | $32.73 | $32.73 |
| Louisiana | $32.67 | $32.67 |
| Ohio | $32.66 | $32.66 |
| Iowa | $32.53 | $32.53 |
| Tennessee | $32.36 | $32.36 |
| Kansas | $32.17 | $32.17 |
| Oklahoma | $31.88 | $31.88 |
| Kentucky | $31.78 | $31.78 |
| West Virginia | $31.24 | $31.24 |
| Alabama | $31.17 | $31.17 |
| Mississippi | $30.73 | $30.73 |
| Arkansas | $30.58 | $30.58 |

## 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
- 92557: Comprehensive audiometry threshold evaluation and speech recognition — https://www.med-reveal.com/rates/92557-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

Commercial negotiated rates for 92563 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