# CPT 92579: Visual reinforcement audiometry (VRA)

Medicare CPT 92579 pays $43.09 in a non-facility setting and $29.73 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $40.10 in Arkansas to $55.60 in Alaska, a 39% spread.

Web page: https://www.med-reveal.com/rates/92579-cpt-fee-schedule
Section: Vision and Hearing Services

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $43.09 |
| National facility | $29.73 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $55.60 | $41.37 |
| District of Columbia | $47.92 | $32.18 |
| California | $47.42 | $31.61 |
| New Jersey | $46.81 | $31.77 |
| New York | $46.60 | $31.69 |
| Washington | $46.54 | $31.31 |
| Massachusetts | $46.16 | $31.15 |
| Hawaii | $45.69 | $30.50 |
| Connecticut | $45.15 | $30.77 |
| Colorado | $44.57 | $30.35 |
| Maryland | $44.26 | $30.34 |
| Oregon | $44.25 | $30.18 |
| Rhode Island | $44.14 | $30.34 |
| New Hampshire | $43.87 | $29.96 |
| Florida | $43.47 | $30.06 |
| Minnesota | $43.43 | $29.69 |
| Puerto Rico | $43.30 | $29.80 |
| Virgin Islands | $43.30 | $29.80 |
| Montana | $43.09 | $29.73 |
| Nevada | $43.05 | $29.68 |
| Wyoming | $43.00 | $29.64 |
| Delaware | $42.93 | $29.73 |
| Pennsylvania | $42.91 | $29.82 |
| North Dakota | $42.89 | $29.53 |
| Texas | $42.88 | $29.72 |
| South Dakota | $42.87 | $29.51 |
| Illinois | $42.80 | $29.88 |
| Vermont | $42.72 | $29.49 |
| Virginia | $42.65 | $29.52 |
| Arizona | $42.42 | $29.47 |
| Georgia | $42.27 | $29.52 |
| Maine | $42.07 | $29.31 |
| Wisconsin | $42.01 | $29.22 |
| Michigan | $42.00 | $29.46 |
| Utah | $41.85 | $29.29 |
| North Carolina | $41.62 | $29.16 |
| South Carolina | $41.51 | $29.17 |
| New Mexico | $41.49 | $29.24 |
| Indiana | $41.45 | $29.07 |
| Missouri | $41.43 | $29.17 |
| Louisiana | $41.36 | $29.16 |
| Ohio | $41.35 | $29.15 |
| Nebraska | $41.34 | $29.00 |
| Idaho | $41.31 | $29.02 |
| Iowa | $41.18 | $28.96 |
| Tennessee | $41.11 | $28.96 |
| Kansas | $41.00 | $28.92 |
| Oklahoma | $40.87 | $28.94 |
| Kentucky | $40.83 | $28.96 |
| West Virginia | $40.61 | $29.00 |
| Alabama | $40.44 | $28.75 |
| Mississippi | $40.21 | $28.71 |
| Arkansas | $40.10 | $28.62 |

## 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 92579 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