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 92549 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.
Cdp Sot 6 Cond W I R Mct Adt, Computerized Dynamic Posturography Sensory Organization Test Cdp Sot 6 Conditions Ie Eyes Open Eyes Closed Visual Sway Platform Sway Eyes Closed Platform Sway Platform And Visual Sway Including Interpretation And Report With Motor Control Test Mct And Adaptation Test Adt
| 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 | GA - Required ABN issued and on file GP - Services delivered under an outpatient physical therapy plan of care |
| Complexity Level | Low |
| Medicare Fee Schedule | $62.46 national non-facility rate (2026) · View Medicare rates for 92549 |
| Medicaid Fee Schedule | $56.82 median of the 8 states in the free preview · View Medicaid rates for 92549 |
National average reimbursement for CPT 92549 by major payers:
$74.06
$82.80
$78.35
$110.12
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 92549.
CPT 92549
5 of 25 sample ratesHigher to lower in this preview
P. Daniel Le Grange
$424.51Published rateNicholas Hatzis
$93.48Published rateMark Sinibaldi
Northwestern Memorial Healthcare
$67.25Published rateColleen Buhrfiend
Pediatric Faculty Foundation In
$43.90Published rateBaycare Home Care, Inc.
Baycare Home Care Inc
$22.10Published 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 92549 vs. Other Special Otorhinolaryngologic Services and Procedures Codes
The CPT 92549 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 92549 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 |
|---|---|---|
| 92548-CPT | Low | Cdp Sot 6 Cond W I R, Computerized Dynamic Posturography Sensory Organization Test Cdp Sot 6 Conditions Ie Eyes Open Eyes Closed Visual Sway Platform Sway Eyes Closed Platform Sway Platform And Visual Sway Including Interpretation And Report |
| 92549-CPT | Low | Cdp Sot 6 Cond W I R Mct Adt, Computerized Dynamic Posturography Sensory Organization Test Cdp Sot 6 Conditions Ie Eyes Open Eyes Closed Visual Sway Platform Sway Eyes Closed Platform Sway Platform And Visual Sway Including Interpretation And Report With Motor Control Test Mct And Adaptation Test Adt |
| 92550-CPT | Low | Hearing Tests, Two Tests That Look At The Inner Workings Of The Ear In Response To Sound. Tympanometry Checks Eardrum Movement. The Acoustic Reflex Threshold Test Checks The Middle Ear Response To Changes In Volume. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 92549. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 92549 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 92549) and we'll show you how you compare in 15 minutes or less.