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See a sample rate comparisonCPT 92567 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.
Tympanom.(Impedance Tsting)
| Key Fact | Detail |
|---|---|
| Service Type | Medicine Services and Procedures Special Otorhinolaryngologic Services and Procedures |
| Common Place of Service | 11 - Office 19 - Off Campus Outpatient Hospital |
| Common Modifiers | 59 - Distinct Procedural Service PO - Services, procedures and/or surgeries furnished at off-campus provider-based outpatient departments |
| Complexity Level | Low |
| Medicare Fee Schedule | $16.03 national non-facility rate (2026) · View Medicare rates for 92567 |
| Medicaid Fee Schedule | $13.01 median of the 8 states in the free preview · View Medicaid rates for 92567 |
National average reimbursement for CPT 92567 by major payers:
$19.03
$21.29
$22.03
$26.07
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CPT 92567
5 of 25 sample ratesHigher to lower in this preview
Olivia Bergesen
Duke University Health System Inc
$35.25Published rateLeila Mureebe
Duke Health Integrated Practice Inc
$31.92Published rateCalton Hall
Duke Health Integrated Practice Inc
$31.92Published rateKirti Magudia
Duke Health Integrated Practice Inc
$31.92Published rateTraneda Jones
Duke University Health System Inc
$29.19Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 92567 vs. Other Special Otorhinolaryngologic Services and Procedures Codes
The CPT 92567 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 92567 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 |
|---|---|---|
| 92565-CPT | Low | Hearing Comparison Both Ears, A Test That Measures The Ability Of Each Ear To Detect Sounds When Tones Of The Same Frequency But Different Intensities Are Presented To Both Ears At The Same Time. |
| 92567-CPT | Low | Tympanom.(Impedance Tsting) |
| 92568-CPT | Low | Middle Ear Reflex Test, Acoustic Reflex Testing Measures Movement Of The Middle Ear In Response To Sound. This Helps To Identify Where A Hearing Problem May Be Located. Testing Can Look At Volume Level (Threshold) Or Length Of Response To A Sound (Decay). |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 92567. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 92567 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
A CPT (Current Procedural Terminology) code is a five-digit code used by healthcare providers to describe medical, surgical, and diagnostic services. These codes are essential for accurate billing and to ensure consistent communication between providers, patients, and insurance companies.
Finding the exact cost of a medical procedure can be complex due to factors like your insurance plan, location, and specific provider. For general information, you can contact your insurance company or the healthcare provider directly. To look up specific fee schedules based on CPT codes and your location, you can utilize tools like Payerprice, which offers a fee schedule lookup tool.
A fee schedule is a comprehensive listing of fees used by healthcare providers and insurance companies to determine payment for medical services. It specifies the maximum amount that will be reimbursed for each medical procedure, service, or supply, typically identified by CPT codes. Fee schedules can vary significantly based on the payer, location, and type of service.
Medical costs can vary widely due to several factors including geographic location, the specific healthcare provider or facility (e.g., hospital vs. outpatient clinic), the patient's insurance coverage and negotiated rates, the complexity of the procedure, and market competition. These variations can make it challenging for consumers to predict healthcare expenses.
To find specific procedure costs for your location, especially by CPT code, you can use specialized tools. Payerprice offers a fee schedule lookup tool that allows users to search with CPT codes and specific locations to find relevant pricing information. Your insurance company may also provide cost estimator tools or information about in-network rates.