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See a sample rate comparisonCPT 92552 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 Test, A Hearing Test That Measures The Ability To Respond To Various Sound Frequencies (Low High). Sound Is Transmitted Through Headphones Or A Device That Vibrates Against Bone.
| Key Fact | Detail |
|---|---|
| Service Type | Medicine Services and Procedures Special Otorhinolaryngologic Services and Procedures |
| Common Place of Service | 11 - Office 50 - Federally Qualified Health Center |
| Common Modifiers | EP - Residential facility to Physician's office 59 - Distinct Procedural Service |
| Complexity Level | Low |
| Medicare Fee Schedule | $40.42 national non-facility rate (2026) · View Medicare rates for 92552 |
| Medicaid Fee Schedule | $32.46 median of the 8 states in the free preview · View Medicaid rates for 92552 |
National average reimbursement for CPT 92552 by major payers:
$42.07
$36.88
$41.53
$52.32
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CPT 92552
5 of 25 sample ratesHigher to lower in this preview
Lauren Schumacher
$232.13Published rateMelany Danehy
$58.27Published rateAshley Shi
Advocate Health And Hospitals Corporation
$52.75Published rateBluesky Telepsych
$44.20Published ratePatricia Wright
Town Center Orthopaedic Associates, P.C.
$31.08Published rate
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See a sample payer proposalCPT 92552 vs. Other Special Otorhinolaryngologic Services and Procedures Codes
The CPT 92552 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 92552 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 |
|---|---|---|
| 92551-CPT | Low | Screening For Hearing Problems, Basic Screening Test For Hearing Problems Where The Individual Tested Responds To Sounds In Headphones. |
| 92552-CPT | Low | Hearing Test, A Hearing Test That Measures The Ability To Respond To Various Sound Frequencies (Low High). Sound Is Transmitted Through Headphones Or A Device That Vibrates Against Bone. |
| 92553-CPT | Low | Hearing Test, A Hearing Test That Measures The Ability To Respond To Various Sound Frequencies (Low High). Sound Is Transmitted Through Headphones Or A Device That Vibrates Against Bone. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 92552. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 92552 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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Frequently Asked Questions
Healthcare price transparency refers to making the cost of medical services publicly available and understandable to consumers. It's important because it empowers patients to make informed decisions about their care, compare prices from different providers, and potentially reduce out-of-pocket costs. It also fosters competition among healthcare providers, which can lead to more affordable care.
Finding the exact cost can be complex, as prices vary based on your insurance plan, location, and the specific provider. You can start by contacting your healthcare provider's billing department for an estimate or your insurance company to understand your out-of-pocket expenses. For a more direct way to look up specific prices for medical procedures using CPT codes and your location, you can use tools like Payerprice. They offer a fee schedule lookup tool that can help you understand potential costs for various services.
CPT stands for Current Procedural Terminology. CPT codes are standardized numerical codes used by healthcare providers and insurers to describe medical, surgical, and diagnostic services. They are crucial for billing and reimbursement processes, ensuring consistency in identifying services. When looking up healthcare costs, knowing the CPT code for your specific procedure can help you get more accurate price information, for instance, through a fee schedule lookup tool like Payerprice.
Comparing healthcare prices requires considering your specific procedure, location, and insurance status. While some state or federal resources exist, for a more tailored approach, it's often best to use dedicated tools. For instance, Payerprice provides a fee schedule lookup tool where you can search for prices based on CPT codes and your specific location, allowing you to compare potential costs for various services.
If you receive an unexpected or confusing medical bill, first, don't hesitate to contact your healthcare provider's billing department or your insurance company for clarification. Ask for an itemized bill, review all charges, and confirm that your insurance was processed correctly. If you had an estimate beforehand, compare it to the final bill. You can also use resources like Payerprice to independently verify the typical costs for the services you received, which can aid in discussions with providers or insurers.