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See a sample rate comparisonCPT 92576 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.
Synthetic Sentence Identifictn Test
| Key Fact | Detail |
|---|---|
| Service Type | Medicine Services and Procedures Special Otorhinolaryngologic Services and Procedures |
| Common Place of Service | 11 - Office 49 - Independent Clinic |
| Common Modifiers | AB - Audiology service by audiologist PO - Services, procedures and/or surgeries furnished at off-campus provider-based outpatient departments |
| Complexity Level | Low |
| Medicare Fee Schedule | $42.42 national non-facility rate (2026) · View Medicare rates for 92576 |
| Medicaid Fee Schedule | $35.185 median of the 8 states in the free preview · View Medicaid rates for 92576 |
National average reimbursement for CPT 92576 by major payers:
$48.25
$41.25
$43.50
$58.47
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CPT 92576
5 of 25 sample ratesHigher to lower in this preview
Andrew Knox
Aurora Medical Group Inc
$131.32Published rateSachin Bhalerao
Edward Health Ventures
$59.13Published rateStevan Weine
The Board Of Trustees Of The University Of Illinois
$46.27Published rateTiffany Vuong
Town Center Orthopaedic Associates, P.C.
$36.20Published rateClint Anthony
District Medical Group Inc
$21.28Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 92576 vs. Other Special Otorhinolaryngologic Services and Procedures Codes
The CPT 92576 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 92576 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 |
|---|---|---|
| 92575-CPT | Low | Noise Masking Hearing Test, A Hearing Test In Which Tones Are Presented At Different Volumes And Pitches. The Tones Are Then Repeated With A Bone Vibrator On The Side Of The Head To Mask The Sound. Results From The Two Tests Are Compared. |
| 92576-CPT | Low | Synthetic Sentence Identifictn Test |
| 92577-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. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 92576. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 92576 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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