Rate Benchmarking
Compare your rates with similar providers.
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonCPT 92540 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.
Basic Vestibular Evaluation, Basic Vestibular Evaluation Includes Spontaneous Nystagmus Test With Eccentric Gaze Fixation Nystagmus With Recording Positional Nystagmus Test Minimum Of 4 Positions With Recording Optokinetic Nystagmus Test Bidirectional Foveal And Peripheral Stimulation With Recording And Oscillating Tracking Test With Recording
| Key Fact | Detail |
|---|---|
| Service Type | Medicine Services and Procedures Special Otorhinolaryngologic Services and Procedures |
| Common Place of Service | 11 - Office 22 - On Campus Outpatient Hospital |
| Common Modifiers | 26 - Professional component 59 - Distinct Procedural Service |
| Complexity Level | Low |
| Medicare Fee Schedule | $103.54 national non-facility rate (2026) · View Medicare rates for 92540 |
| Medicaid Fee Schedule | $84.64 median of the 8 states in the free preview · View Medicaid rates for 92540 |
National average reimbursement for CPT 92540 by major payers:
$121.86
$133.71
$138.05
$173.68
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 92540.
CPT 92540
5 of 25 sample ratesHigher to lower in this preview
Bilal Aijaz
University Physicians Incorporated
$269.54Published rateImran Khalil
Cardiology Associates, P.A.
$122.33Published rateAlejandro Vasquez
Hh Heart Center LLC
$103.95Published rateArka Chatterjee
Banner-University Medical Group
$60.25Published rateGeorge Hemstreet
Bama Heart Doc, PC Dba Alabama Heart & Vascular Medicine
$15.48Published rate
Get a free rate benchmark for your specialty.
Choose your state and specialty to build a report from payer-published rates.
Use market rates to prepare your payer proposal.
Payer Contract Negotiation
Draft a fee schedule renegotiation letter.
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalCPT 92540 vs. Other Special Otorhinolaryngologic Services and Procedures Codes
The CPT 92540 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 92540 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 |
|---|---|---|
| 92538-CPT | Low | Diag Ear/Nose/Throat Proc, Caloric Vestibular Test With Recording Bilateral; Bithermal (Ie One Warm And One Cool Irrigation In Each Ear For A Total Of Four Irrigations) |
| 92540-CPT | Low | Basic Vestibular Evaluation, Basic Vestibular Evaluation Includes Spontaneous Nystagmus Test With Eccentric Gaze Fixation Nystagmus With Recording Positional Nystagmus Test Minimum Of 4 Positions With Recording Optokinetic Nystagmus Test Bidirectional Foveal And Peripheral Stimulation With Recording And Oscillating Tracking Test With Recording |
| 92541-CPT | Low | Spontaneous Nystagmus Test In, Spontaneous Nystagmus Test Including Gaze And Fixationnystagmus With Recording Spontaneous Nystagmus Test Including Gaze And Fixation |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 92540. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 92540 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.
FREE SAMPLE MARKET COMPARISON
Let's review your payer contracts side-by-side with the market.
Bring your top codes (like CPT 92540) and we'll show you how you compare in 15 minutes or less.