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See a sample rate comparisonCPT 92550 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.
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.
| Key Fact | Detail |
|---|---|
| Service Type | Medicine Services and Procedures Special Otorhinolaryngologic Services and Procedures |
| Common Place of Service | 11 - Office |
| Common Modifiers | 52 - Reduced Services PO - Services, procedures and/or surgeries furnished at off-campus provider-based outpatient departments |
| Complexity Level | Low |
| Medicare Fee Schedule | $21.71 national non-facility rate (2026) · View Medicare rates for 92550 |
| Medicaid Fee Schedule | $17.725 median of the 8 states in the free preview · View Medicaid rates for 92550 |
National average reimbursement for CPT 92550 by major payers:
$27.76
$27.93
$28.67
$44.03
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CPT 92550
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$55.02Published rateNasser Lakkis
Usa Health Community Providers LLC
$29.63Published rateJeremy Kelley
Bama Heart Doc, PC Dba Alabama Heart & Vascular Medicine
$23.42Published rateTimothy Lee
Alabama Heart And Vascular, P.C.
$21.60Published rateApex Cardiology, PC
$18.20Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 92550 vs. Other Special Otorhinolaryngologic Services and Procedures Codes
The CPT 92550 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 92550 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 |
|---|---|---|
| 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. |
| 92551-CPT | Low | Screening For Hearing Problems, Basic Screening Test For Hearing Problems Where The Individual Tested Responds To Sounds In Headphones. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 92550. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 92550 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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