# CPT 92597: Evaluation for use/fitting of voice prosthetic device

Medicare CPT 92597 pays $71.14 in a non-facility setting and $71.14 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $66.68 in Arkansas to $93.30 in Alaska, a 40% spread.

Web page: https://www.med-reveal.com/rates/92597-cpt-fee-schedule
Section: Rehabilitation and Therapy

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $71.14 |
| National facility | $71.14 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $93.30 | $93.30 |
| District of Columbia | $78.67 | $78.67 |
| California | $77.70 | $77.70 |
| New Jersey | $77.02 | $77.02 |
| New York | $76.73 | $76.73 |
| Washington | $76.41 | $76.41 |
| Massachusetts | $75.84 | $75.84 |
| Hawaii | $74.89 | $74.89 |
| Connecticut | $74.37 | $74.37 |
| Colorado | $73.37 | $73.37 |
| Maryland | $72.98 | $72.98 |
| Oregon | $72.86 | $72.86 |
| Rhode Island | $72.82 | $72.82 |
| New Hampshire | $72.27 | $72.27 |
| Florida | $71.88 | $71.88 |
| Minnesota | $71.53 | $71.53 |
| Puerto Rico | $71.46 | $71.46 |
| Virgin Islands | $71.46 | $71.46 |
| Montana | $71.14 | $71.14 |
| Nevada | $71.06 | $71.06 |
| Wyoming | $70.97 | $70.97 |
| Pennsylvania | $70.96 | $70.96 |
| Delaware | $70.93 | $70.93 |
| Illinois | $70.90 | $70.90 |
| Texas | $70.87 | $70.87 |
| North Dakota | $70.75 | $70.75 |
| South Dakota | $70.70 | $70.70 |
| Vermont | $70.52 | $70.52 |
| Virginia | $70.45 | $70.45 |
| Arizona | $70.14 | $70.14 |
| Georgia | $69.99 | $69.99 |
| Michigan | $69.62 | $69.62 |
| Maine | $69.59 | $69.59 |
| Wisconsin | $69.45 | $69.45 |
| Utah | $69.31 | $69.31 |
| North Carolina | $68.93 | $68.93 |
| New Mexico | $68.84 | $68.84 |
| South Carolina | $68.81 | $68.81 |
| Missouri | $68.71 | $68.71 |
| Indiana | $68.65 | $68.65 |
| Louisiana | $68.62 | $68.62 |
| Ohio | $68.59 | $68.59 |
| Nebraska | $68.47 | $68.47 |
| Idaho | $68.44 | $68.44 |
| Iowa | $68.24 | $68.24 |
| Tennessee | $68.16 | $68.16 |
| Kansas | $67.99 | $67.99 |
| Oklahoma | $67.85 | $67.85 |
| Kentucky | $67.82 | $67.82 |
| West Virginia | $67.58 | $67.58 |
| Alabama | $67.18 | $67.18 |
| Mississippi | $66.88 | $66.88 |
| Arkansas | $66.68 | $66.68 |

## Related codes

- 92507: Treatment of speech, language, voice, communication disorder, individual — https://www.med-reveal.com/rates/92507-cpt-fee-schedule
- 92508: Treatment of speech, language, voice, communication disorder, group — https://www.med-reveal.com/rates/92508-cpt-fee-schedule
- 92521: Evaluation of speech fluency — https://www.med-reveal.com/rates/92521-cpt-fee-schedule
- 92522: Evaluation of speech sound production — https://www.med-reveal.com/rates/92522-cpt-fee-schedule
- 92523: Evaluation of speech sound production with evaluation of language comprehension — https://www.med-reveal.com/rates/92523-cpt-fee-schedule
- 92524: Behavioral/qualitative analysis of voice and resonance — https://www.med-reveal.com/rates/92524-cpt-fee-schedule
- 92526: Treatment of swallowing dysfunction and/or oral function for feeding — https://www.med-reveal.com/rates/92526-cpt-fee-schedule
- 92607: Evaluation for prescription of speech-generating device, first hour — https://www.med-reveal.com/rates/92607-cpt-fee-schedule

Commercial negotiated rates for 92597 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