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See a sample rate comparisonCPT 92507 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Treatment Of Speech Language, Treatment Of Speech Language Voice Communication And Orauditory Processing Disorder (Includes Aural Rehabilitation) Individual
| Key Fact | Detail |
|---|---|
| Service Type | Medicine Services and Procedures Special Otorhinolaryngologic Services and Procedures |
| Common Place of Service | 11 - Office |
| Common Modifiers | GN - Services delivered under an outpatient speech language pathology plan of care KX - Requirements specified in the medical policy have been met |
| Complexity Level | Low |
| Medicare Fee Schedule | $76.15 national non-facility rate (2026) · View Medicare rates for 92507 |
| Medicaid Fee Schedule | $64.34 median of the 7 states in the free preview · View Medicaid rates for 92507 |
National average reimbursement for CPT 92507 by major payers:
$85.53
$96.11
$82.44
$119.04
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CPT 92507
5 of 25 sample ratesHigher to lower in this preview
Elizabeth Ross
Montefiore Medical Center
$337.85Published rateMark Alter
$156.58Published rateTracy Binius
Northwestern Memorial Healthcare
$119.22Published rateAbby Nieves
Orthopedic Institute Of Newport Beach Limited Partnership
$74.40Published rateKevin Kenefick
Eden Health Medical Of Nj PC
$54.61Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 92507 vs. Other Special Otorhinolaryngologic Services and Procedures Codes
The CPT 92507 code is part of the Medicine Services and Procedures services used for Special Otorhinolaryngologic Services and Procedures. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 92507 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 92507-CPT | Low | Treatment Of Speech Language, Treatment Of Speech Language Voice Communication And Orauditory Processing Disorder (Includes Aural Rehabilitation) Individual |
| 92508-CPT | Low | Treatment Of Speech Language, Treatment Of Speech Language Voice Communication And Orauditory Processing Disorder (Includes Aural Rehabilitation) Group Two Or More Individuals |
| 92511-CPT | Low | Nasopharyngoscopy With Endoscope |
| 92512-CPT | Low | Test To Evaluate Nose Function, Testing Of Nose Functions (Rhinomanometry). The Physician May Use Sound Or A Pressure Sensor Inside The Nose. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 92507. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 92507 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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