# CPT 92608: Evaluation for prescription of speech-generating device, each additional 30 minutes (add-on)

Medicare CPT 92608 pays $47.76 in a non-facility setting and $47.76 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $44.33 in Arkansas to $61.04 in Alaska, a 38% spread.

Web page: https://www.med-reveal.com/rates/92608-cpt-fee-schedule
Section: Rehabilitation and Therapy

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $47.76 |
| National facility | $47.76 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $61.04 | $61.04 |
| District of Columbia | $53.37 | $53.37 |
| California | $53.07 | $53.07 |
| New Jersey | $52.04 | $52.04 |
| Washington | $51.92 | $51.92 |
| New York | $51.69 | $51.69 |
| Massachusetts | $51.44 | $51.44 |
| Hawaii | $51.10 | $51.10 |
| Connecticut | $50.11 | $50.11 |
| Colorado | $49.60 | $49.60 |
| Oregon | $49.26 | $49.26 |
| Maryland | $49.11 | $49.11 |
| Rhode Island | $49.01 | $49.01 |
| New Hampshire | $48.76 | $48.76 |
| Minnesota | $48.47 | $48.47 |
| Puerto Rico | $48.03 | $48.03 |
| Virgin Islands | $48.03 | $48.03 |
| Florida | $47.84 | $47.84 |
| Nevada | $47.79 | $47.79 |
| Montana | $47.76 | $47.76 |
| North Dakota | $47.76 | $47.76 |
| South Dakota | $47.76 | $47.76 |
| Wyoming | $47.76 | $47.76 |
| Delaware | $47.59 | $47.59 |
| Vermont | $47.52 | $47.52 |
| Texas | $47.51 | $47.51 |
| Pennsylvania | $47.47 | $47.47 |
| Virginia | $47.35 | $47.35 |
| Illinois | $47.02 | $47.02 |
| Arizona | $47.01 | $47.01 |
| Wisconsin | $46.74 | $46.74 |
| Georgia | $46.68 | $46.68 |
| Maine | $46.68 | $46.68 |
| Utah | $46.30 | $46.30 |
| Michigan | $46.28 | $46.28 |
| North Carolina | $46.13 | $46.13 |
| Indiana | $45.98 | $45.98 |
| South Carolina | $45.91 | $45.91 |
| Nebraska | $45.89 | $45.89 |
| Idaho | $45.81 | $45.81 |
| Missouri | $45.76 | $45.76 |
| New Mexico | $45.74 | $45.74 |
| Iowa | $45.69 | $45.69 |
| Louisiana | $45.64 | $45.64 |
| Ohio | $45.64 | $45.64 |
| Tennessee | $45.54 | $45.54 |
| Kansas | $45.42 | $45.42 |
| Oklahoma | $45.15 | $45.15 |
| Kentucky | $45.06 | $45.06 |
| Alabama | $44.72 | $44.72 |
| West Virginia | $44.57 | $44.57 |
| Mississippi | $44.37 | $44.37 |
| Arkansas | $44.33 | $44.33 |

## 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
- 92597: Evaluation for use/fitting of voice prosthetic device — https://www.med-reveal.com/rates/92597-cpt-fee-schedule

Commercial negotiated rates for 92608 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