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 92582 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 For Children, A Hearing Test For Young Children That Uses Either Pictures As Cues To Respond To Verbal Instructions Or Sound To Trigger Trained Play Responses.
| 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 | $86.84 national non-facility rate (2026) · View Medicare rates for 92582 |
| Medicaid Fee Schedule | $69.87 median of the 8 states in the free preview · View Medicaid rates for 92582 |
National average reimbursement for CPT 92582 by major payers:
$95.12
$80.96
$91.40
$116.32
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 92582.
CPT 92582
5 of 25 sample ratesHigher to lower in this preview
Kavita Thakkar
Northwestern Memorial Healthcare
$182.03Published rateElton Smith
$144.08Published rateJohn Mcmillin
Advocate Health And Hospitals Corporation
$127.05Published rateElizabeth Mcmasters
Northwestern Memorial Healthcare
$110.37Published rateKapil Aedma
Swope Health Services
$64.00Published 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 92582 vs. Other Special Otorhinolaryngologic Services and Procedures Codes
The CPT 92582 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 92582 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 |
|---|---|---|
| 92579-CPT | Low | Hearing Test With Toys, A Hearing Test That Uses Lighted Toys To Reinforce Response To A Sound (Visual Reinforcement Audiometry). |
| 92582-CPT | Low | Hearing Test For Children, A Hearing Test For Young Children That Uses Either Pictures As Cues To Respond To Verbal Instructions Or Sound To Trigger Trained Play Responses. |
| 92583-CPT | Low | Hearing Test For Children, A Hearing Test For Young Children That Uses Either Pictures As Cues To Respond To Verbal Instructions Or Sound To Trigger Trained Play Responses. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 92582. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 92582 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 92582) and we'll show you how you compare in 15 minutes or less.