# CPT 92588: Distortion product otoacoustic emissions, comprehensive

Medicare CPT 92588 pays $33.73 in a non-facility setting and $33.73 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $31.34 in Arkansas to $43.58 in Alaska, a 39% spread.

Web page: https://www.med-reveal.com/rates/92588-cpt-fee-schedule
Section: Vision and Hearing Services
Billed by: Otolaryngology

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $33.73 |
| National facility | $33.73 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $43.58 | $43.58 |
| District of Columbia | $37.42 | $37.42 |
| California | $36.78 | $36.78 |
| New Jersey | $36.59 | $36.59 |
| New York | $36.54 | $36.54 |
| Washington | $36.23 | $36.23 |
| Massachusetts | $35.97 | $35.97 |
| Hawaii | $35.47 | $35.47 |
| Connecticut | $35.37 | $35.37 |
| Colorado | $34.75 | $34.75 |
| Maryland | $34.65 | $34.65 |
| Rhode Island | $34.50 | $34.50 |
| Oregon | $34.49 | $34.49 |
| Florida | $34.42 | $34.42 |
| New Hampshire | $34.25 | $34.25 |
| Illinois | $33.91 | $33.91 |
| Puerto Rico | $33.89 | $33.89 |
| Virgin Islands | $33.89 | $33.89 |
| Montana | $33.73 | $33.73 |
| Minnesota | $33.69 | $33.69 |
| Nevada | $33.64 | $33.64 |
| Pennsylvania | $33.64 | $33.64 |
| Delaware | $33.58 | $33.58 |
| Texas | $33.56 | $33.56 |
| Wyoming | $33.56 | $33.56 |
| North Dakota | $33.34 | $33.34 |
| South Dakota | $33.29 | $33.29 |
| Virginia | $33.29 | $33.29 |
| Vermont | $33.26 | $33.26 |
| Georgia | $33.22 | $33.22 |
| Arizona | $33.18 | $33.18 |
| Michigan | $33.11 | $33.11 |
| Maine | $32.84 | $32.84 |
| Utah | $32.78 | $32.78 |
| Wisconsin | $32.66 | $32.66 |
| New Mexico | $32.65 | $32.65 |
| South Carolina | $32.52 | $32.52 |
| Missouri | $32.51 | $32.51 |
| North Carolina | $32.51 | $32.51 |
| Louisiana | $32.49 | $32.49 |
| Ohio | $32.46 | $32.46 |
| Indiana | $32.32 | $32.32 |
| Idaho | $32.21 | $32.21 |
| Nebraska | $32.19 | $32.19 |
| West Virginia | $32.10 | $32.10 |
| Tennessee | $32.09 | $32.09 |
| Iowa | $32.08 | $32.08 |
| Kentucky | $32.05 | $32.05 |
| Oklahoma | $32.01 | $32.01 |
| Kansas | $31.99 | $31.99 |
| Alabama | $31.61 | $31.61 |
| Mississippi | $31.52 | $31.52 |
| Arkansas | $31.34 | $31.34 |

## Related codes

- 92587: Distortion product otoacoustic emissions, limited — https://www.med-reveal.com/rates/92587-cpt-fee-schedule
- 92590: Hearing aid examination and selection, monaural — https://www.med-reveal.com/rates/92590-cpt-fee-schedule
- 92591: Hearing aid examination and selection, binaural — https://www.med-reveal.com/rates/92591-cpt-fee-schedule
- 92592: Hearing aid check, monaural — https://www.med-reveal.com/rates/92592-cpt-fee-schedule
- 92593: Hearing aid check, binaural — https://www.med-reveal.com/rates/92593-cpt-fee-schedule
- 92594: Electroacoustic evaluation for hearing aid, monaural — https://www.med-reveal.com/rates/92594-cpt-fee-schedule
- 92595: Electroacoustic evaluation for hearing aid, binaural — https://www.med-reveal.com/rates/92595-cpt-fee-schedule
- 92620: Evaluation of central auditory function, initial 60 minutes — https://www.med-reveal.com/rates/92620-cpt-fee-schedule

Commercial negotiated rates for 92588 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