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See a sample rate comparisonHealthcare 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.
| 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 21 - Inpatient Hospital |
| Common Modifiers | 59 - Distinct Procedural Service GN - Services delivered under an outpatient speech language pathology plan of care |
| Complexity Level | Low |
| Medicare Fee Schedule | $151.64 national non-facility rate (2026) · View Medicare rates for 92614 |
| Medicaid Fee Schedule | $122.89 median of the 7 states in the free preview · View Medicaid rates for 92614 |
National average reimbursement for CPT 92614 by major payers:

$175.16

$186.25

$179.90

$120.91
Choose a payer to see a sample of rates for CPT 92614.
Andrew Knox
Aurora Medical Group Inc
Haidar Kabbani
Trihealth G, LLC
Matthew Filippo
Advocate Health And Hospitals Corporation
Musaddiq Tariq
Loyola University Medical Center
Rubeena Mian
Presence Behavioral Health
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Rate Benchmarking
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See a sample payer proposalCPT 92614 vs. Other Special Otorhinolaryngologic Services and Procedures Codes
The CPT 92614 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 92614 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 |
| 92614-CPT | Low | Flex Fiberoptic Endoscopic Eval Laryngeal Sensory Tsting B, Flexible Fiberoptic Endoscopic Evaluation Laryngeal Sensory Testing B |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 92614. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 92614 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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