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 comparisonHealthcare 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.
| 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 | 59 - Distinct Procedural Service 76 - Repeat procedure by same physician |
| Complexity Level | Low |
| Medicare Fee Schedule | $134.61 national non-facility rate (2026) · View Medicare rates for 92546 |
| Medicaid Fee Schedule | $108.415 median of the 8 states in the free preview · View Medicaid rates for 92546 |
National average reimbursement for CPT 92546 by major payers:

$140.43

$132.05

$143.89

$179.84
Choose a payer to see a sample of rates for CPT 92546.
Matthew Niedzwiecki
Trixie Lipke
Beaver Dam Community Hospitals Inc
Majed Dalloul
Saint Anthony Health Affiliates
Colleen Buhrfiend
Rush University Medical Center
Christopher Raio
Good Samaritan Hosptial Medical Center
Choose your state and specialty to build a report from payer-published rates.
Rate Benchmarking
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonPayer Contract Negotiation
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalCPT 92546 vs. Other Special Otorhinolaryngologic Services and Procedures Codes
The CPT 92546 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 92546 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 |
|---|---|---|
| 92545-CPT | Low | Oscillating Trackng Test,W/Recordng |
| 92546-CPT | Low | Torsion Swing Test With Recording |
| 92547-CPT | Low | Use Of Vertical Electrodes (Li, Use Of Vertical Electrodes (List Separately In Addition Tocode For Primary Procedure) Use Of Vertical Electrodes (List Separately In Addition To |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 92546. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 92546 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.
Bring your top codes (like CPT 92546) and we'll show you how you compare in 15 minutes or less.