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 92611 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.
Swallowing Evaluation, Evaluation Of Swallowing Ability Using A Scope (Fluoroscope). Fluoroscopy Is An X-Ray Technique That Shows Movement In Real-Time With The Aid Of Contrast Dye.
| Key Fact | Detail |
|---|---|
| Service Type | Medicine Services and Procedures Special Otorhinolaryngologic Services and Procedures |
| Common Place of Service | 11 - Office 22 - On Campus Outpatient Hospital |
| Common Modifiers | GN - Services delivered under an outpatient speech language pathology plan of care 59 - Distinct Procedural Service |
| Complexity Level | Low |
| Medicare Fee Schedule | $91.52 national non-facility rate (2026) · View Medicare rates for 92611 |
| Medicaid Fee Schedule | $76.81 median of the 7 states in the free preview · View Medicaid rates for 92611 |
National average reimbursement for CPT 92611 by major payers:
$127.07
$122.68
$122.45
$149.00
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 92611.
CPT 92611
5 of 25 sample ratesHigher to lower in this preview
P. Daniel Le Grange
$545.48Published rateElton Smith
$182.33Published rateNora Ekeanya
Loyola University Medical Center
$176.78Published rateJeremiah Brewer
Loyola University Medical Center
$149.14Published rateRestorative Health Rehabilitation Inc
$35.00Published 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 92611 vs. Other Special Otorhinolaryngologic Services and Procedures Codes
The CPT 92611 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 92611 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 |
|---|---|---|
| 92610-CPT | Low | Evaluation Of Oral And Pharyngeal Swallowing Function |
| 92611-CPT | Low | Swallowing Evaluation, Evaluation Of Swallowing Ability Using A Scope (Fluoroscope). Fluoroscopy Is An X-Ray Technique That Shows Movement In Real-Time With The Aid Of Contrast Dye. |
| 92612-CPT | Moderate | Flex Fiberoptic Endoscopic Eval Of Swallowing By Cine Or Vid, Flexible Fiberoptic Endoscopic Evaluation Of Swallowing By Cine Or Vid |
| 92613-CPT | Low | Flexible Fiberoptic Endoscopic, Flexible Fiberoptic Endoscopic Evaluation Of Swallowing By Cine Or Video Recording Interpretation And Report Only |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 92611. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 92611 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 92611) and we'll show you how you compare in 15 minutes or less.