# CPT 92609: Therapeutic services for use of speech-generating device

Medicare CPT 92609 pays $102.54 in a non-facility setting and $102.54 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $95.03 in Arkansas to $130.83 in Alaska, a 38% spread.

Web page: https://www.med-reveal.com/rates/92609-cpt-fee-schedule
Section: Rehabilitation and Therapy

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $102.54 |
| National facility | $102.54 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $130.83 | $130.83 |
| District of Columbia | $114.56 | $114.56 |
| California | $113.73 | $113.73 |
| New Jersey | $111.72 | $111.72 |
| Washington | $111.34 | $111.34 |
| New York | $111.06 | $111.06 |
| Massachusetts | $110.36 | $110.36 |
| Hawaii | $109.54 | $109.54 |
| Connecticut | $107.63 | $107.63 |
| Colorado | $106.40 | $106.40 |
| Oregon | $105.64 | $105.64 |
| Maryland | $105.44 | $105.44 |
| Rhode Island | $105.18 | $105.18 |
| New Hampshire | $104.64 | $104.64 |
| Minnesota | $103.82 | $103.82 |
| Puerto Rico | $103.11 | $103.11 |
| Virgin Islands | $103.11 | $103.11 |
| Florida | $103.03 | $103.03 |
| Montana | $102.54 | $102.54 |
| Nevada | $102.54 | $102.54 |
| Wyoming | $102.45 | $102.45 |
| North Dakota | $102.34 | $102.34 |
| South Dakota | $102.32 | $102.32 |
| Delaware | $102.13 | $102.13 |
| Texas | $101.99 | $101.99 |
| Pennsylvania | $101.95 | $101.95 |
| Vermont | $101.85 | $101.85 |
| Virginia | $101.56 | $101.56 |
| Illinois | $101.26 | $101.26 |
| Arizona | $100.88 | $100.88 |
| Georgia | $100.29 | $100.29 |
| Wisconsin | $100.12 | $100.12 |
| Maine | $100.10 | $100.10 |
| Michigan | $99.50 | $99.50 |
| Utah | $99.38 | $99.38 |
| North Carolina | $98.93 | $98.93 |
| Indiana | $98.57 | $98.57 |
| South Carolina | $98.53 | $98.53 |
| Nebraska | $98.32 | $98.32 |
| New Mexico | $98.28 | $98.28 |
| Missouri | $98.24 | $98.24 |
| Idaho | $98.20 | $98.20 |
| Louisiana | $98.02 | $98.02 |
| Ohio | $98.01 | $98.01 |
| Iowa | $97.91 | $97.91 |
| Tennessee | $97.64 | $97.64 |
| Kansas | $97.37 | $97.37 |
| Oklahoma | $96.89 | $96.89 |
| Kentucky | $96.73 | $96.73 |
| Alabama | $95.88 | $95.88 |
| West Virginia | $95.86 | $95.86 |
| Mississippi | $95.21 | $95.21 |
| Arkansas | $95.03 | $95.03 |

## 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 92609 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