CPT code 92508: Speech therapy, group session2026 Medicare rate & RVUs in Marin County, CA
Report 92508 for skilled speech-language treatment delivered to multiple patients together, rather than individual treatment for one patient.
In Marin County, CA, Medicare pays $30.12 for 92508 in the office.
Check a contract rate as a % of Medicare · 92508 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
What 92508 covers
A speech-language pathologist typically uses this service to treat multiple patients in a shared session, working on communication, speech, language, voice, or auditory-processing goals. Group activities may include structured conversation or practice of communication strategies, with skilled direction tailored to each participant. Services are commonly provided in outpatient therapy settings and hospital departments.
Report the group service for each patient who receives it, and document the group format, skilled interventions, individualized goals, and each patient’s participation and response. Choose individual treatment code 92507 when the clinician treats one patient at a time. This is a therapy service, not a separately billed professional component; the professional component modifier does not apply. CMS reduces the practice-expense portion for the second and subsequent therapy units on the same day.
This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.
How Marin County, CA compares for 92508
Across 109 of 109 payment localities, the office rate for 92508 runs from $22.10 in Arkansas to $30.72 in San Benito County, CA. Marin County, CA pays $30.12. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Marin County, CA · this page$30.12
- Bakersfield, CA · California$25.35−$4.77
- Chico, CA · California$25.30−$4.82
- El Centro, CA · California$25.30−$4.82
- Fresno, CA · California$25.30−$4.82
- Hanford, CA · California$25.30−$4.82
- Los Angeles, CA · California$26.71−$3.41
Other areas in California first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| Madera, CACalifornia | $25.30 | — |
| Merced, CACalifornia | $25.30 | — |
| Modesto, CACalifornia | $25.30 | — |
| Napa, CACalifornia | $28.61 | — |
| Oxnard, CACalifornia | $26.54 | — |
| Redding, CACalifornia | $25.30 | — |
| Rest of CaliforniaCalifornia | $25.30 | — |
| Riverside, CACalifornia | $25.42 | — |
| Sacramento, CACalifornia | $26.36 | — |
| Salinas, CACalifornia | $26.25 | — |
| San Diego, CACalifornia | $26.71 | — |
| San Francisco, CACalifornia | $30.11 | — |
| San Benito County, CACalifornia | $30.72 | — |
| Santa Clara County, CACalifornia | $30.67 | — |
| San Luis Obispo, CACalifornia | $25.85 | — |
| Santa Cruz, CACalifornia | $26.85 | — |
| Santa Maria, CACalifornia | $26.31 | — |
| Santa Rosa, CACalifornia | $27.12 | — |
| Stockton, CACalifornia | $25.30 | — |
| Vallejo, CACalifornia | $28.60 | — |
| Visalia, CACalifornia | $25.30 | — |
| Yuba City, CACalifornia | $25.30 | — |
| Washington, DC areaDistrict of Columbia | $26.94 | — |
| Miami, FLFlorida | $25.08 | — |
| Chicago, ILIllinois | $24.62 | — |
| Manhattan, NYNew York | $27.01 | — |
| AlaskaAlaska | $30.23 | — |
| AlabamaAlabama | $22.32 | — |
| ArkansasArkansas | $22.10 | — |
| ArizonaArizona | $23.61 | — |
| ColoradoColorado | $24.92 | — |
| ConnecticutConnecticut | $25.32 | — |
| DelawareDelaware | $23.92 | — |
| Fort Lauderdale, FLFlorida | $24.48 | — |
| Rest of FloridaFlorida | $23.66 | — |
| Atlanta, GAGeorgia | $24.35 | — |
| Rest of GeorgiaGeorgia | $22.74 | — |
| Hawaii, Guam, HIHawaii | $25.65 | — |
| IowaIowa | $22.77 | — |
| IdahoIdaho | $22.86 | — |
| East St. Louis, ILIllinois | $23.37 | — |
| Rest of IllinoisIllinois | $23.13 | — |
| Suburban Chicago, ILIllinois | $24.73 | — |
| IndianaIndiana | $22.95 | — |
| KansasKansas | $22.66 | — |
| KentuckyKentucky | $22.61 | — |
| New Orleans, LALouisiana | $23.35 | — |
| Rest of LouisianaLouisiana | $22.58 | — |
| Metropolitan Boston, MAMassachusetts | $26.93 | — |
| Rest of MassachusettsMassachusetts | $24.83 | — |
| Baltimore area, MDMaryland | $25.23 | — |
| Rest of MarylandMaryland | $24.28 | — |
| Rest of MaineMaine | $22.91 | — |
| Southern Maine, MEMaine | $23.81 | — |
| Detroit, MIMichigan | $23.83 | — |
| Rest of MichiganMichigan | $22.99 | — |
| MinnesotaMinnesota | $24.18 | — |
| Metropolitan Kansas City, MOMissouri | $23.27 | — |
| Metropolitan St. Louis, MOMissouri | $23.44 | — |
| Rest of MissouriMissouri | $22.29 | — |
| MississippiMississippi | $22.20 | — |
| MontanaMontana | $24.05 | — |
| North CarolinaNorth Carolina | $23.08 | — |
| North DakotaNorth Dakota | $23.85 | — |
| NebraskaNebraska | $22.86 | — |
| New HampshireNew Hampshire | $24.53 | — |
| Northern New JerseyNew Jersey | $26.80 | — |
| Rest of New JerseyNew Jersey | $25.69 | — |
| New MexicoNew Mexico | $23.06 | — |
| NevadaNevada | $24.01 | — |
| NYC suburbs and Long Island, NYNew York | $27.44 | — |
| Poughkeepsie and northern NYC suburbs, NYNew York | $25.82 | — |
| Queens, NYNew York | $27.21 | — |
| Rest of New YorkNew York | $23.31 | — |
| OhioOhio | $22.95 | — |
| OklahomaOklahoma | $22.62 | — |
| Portland, OROregon | $25.55 | — |
| Rest of OregonOregon | $23.90 | — |
| Metropolitan Philadelphia, PAPennsylvania | $24.83 | — |
| Rest of PennsylvaniaPennsylvania | $22.99 | — |
| Puerto RicoPuerto Rico | $24.18 | — |
| Rhode IslandRhode Island | $24.64 | — |
| South CarolinaSouth Carolina | $23.03 | — |
| South DakotaSouth Dakota | $23.83 | — |
| TennesseeTennessee | $22.74 | — |
| Austin, TXTexas | $24.77 | — |
| Beaumont, TXTexas | $22.88 | — |
| Brazoria, TXTexas | $23.95 | — |
| Dallas, TXTexas | $24.05 | — |
| Fort Worth, TXTexas | $23.93 | — |
| Galveston, TXTexas | $23.99 | — |
| Houston, TXTexas | $24.17 | — |
| Rest of TexasTexas | $23.37 | — |
| UtahUtah | $23.25 | — |
| VirginiaVirginia | $23.73 | — |
| Virgin Islands, VIUnited States Virgin Islands | $24.18 | — |
| VermontVermont | $23.76 | — |
| Rest of WashingtonWashington | $24.78 | — |
| King County, WAWashington | $27.42 | — |
| WisconsinWisconsin | $23.28 | — |
| West VirginiaWest Virginia | $22.53 | — |
| WyomingWyoming | $23.96 | — |
92508 rates by state
Office rate range in each state. Select a state to see its payment localities.
Explore a state
Local rates. Clear comparisons.
Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.
$22.10
$30.23
Color shows the midpoint of each state’s locality range.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $30.23 | 1 |
| AL | $22.32 | 1 |
| AR | $22.10 | 1 |
| AZ | $23.61 | 1 |
| CA | $25.30–$30.72 | 29 |
| CO | $24.92 | 1 |
| CT | $25.32 | 1 |
| DC | $26.94 | 1 |
| DE | $23.92 | 1 |
| FL | $23.66–$25.08 | 3 |
| GA | $22.74–$24.35 | 2 |
| GU | $25.65 | 1 |
| HI | $25.65 | 1 |
| IA | $22.77 | 1 |
| ID | $22.86 | 1 |
| IL | $23.13–$24.73 | 4 |
| IN | $22.95 | 1 |
| KS | $22.66 | 1 |
| KY | $22.61 | 1 |
| LA | $22.58–$23.35 | 2 |
| MA | $24.83–$26.93 | 2 |
| MD | $24.28–$26.94 | 3 |
| ME | $22.91–$23.81 | 2 |
| MI | $22.99–$23.83 | 2 |
| MN | $24.18 | 1 |
| MO | $22.29–$23.44 | 3 |
| MS | $22.20 | 1 |
| MT | $24.05 | 1 |
| NC | $23.08 | 1 |
| ND | $23.85 | 1 |
| NE | $22.86 | 1 |
| NH | $24.53 | 1 |
| NJ | $25.69–$26.80 | 2 |
| NM | $23.06 | 1 |
| NV | $24.01 | 1 |
| NY | $23.31–$27.44 | 5 |
| OH | $22.95 | 1 |
| OK | $22.62 | 1 |
| OR | $23.90–$25.55 | 2 |
| PA | $22.99–$24.83 | 2 |
| PR | $24.18 | 1 |
| RI | $24.64 | 1 |
| SC | $23.03 | 1 |
| SD | $23.83 | 1 |
| TN | $22.74 | 1 |
| TX | $22.88–$24.77 | 8 |
| UT | $23.25 | 1 |
| VA | $23.73–$26.94 | 2 |
| VI | $24.18 | 1 |
| VT | $23.76 | 1 |
| WA | $24.78–$27.42 | 2 |
| WI | $23.28 | 1 |
| WV | $22.53 | 1 |
| WY | $23.96 | 1 |
How the 92508 rate is calculated
Each of 92508’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 92508
RVUs × geographic indexes × conversion factor
Work0.33
0.33 RVUs× 1.000 GPCI
Practice expense0.38
0.38 RVUs× 1.000 GPCI
Malpractice0.01
0.01 RVUs× 1.000 GPCI
Adjusted RVUs
0.7200
Conversion factor
$33.4009
Medicare rate
$24.05
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Marin County, CA inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
11,780
- Code
- 92508
- Physician work
- 0.33
- Practice expense
- 0.38
- Malpractice
- 0.01
GPCI2026.csv
25
- Locality
- Marin County, CA
- Physician work
- 1.095
- Practice expense
- 1.410
- Malpractice
- 0.459
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.33 | × 1.095 | 0.3614 |
| Practice expense | 0.38 | × 1.410 | 0.5358 |
| Malpractice | 0.01 | × 0.459 | 0.0046 |
| Total RVUs | 0.9017 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Marin County, CA$30.12
Office: (0.33 × 1.095 + 0.38 × 1.41 + 0.01 × 0.459) × $33.4009 = $30.12
Payment rules and modifiers for 92508
The CMS indicators that decide how 92508 is paid alongside other services.
CMS payment indicators · 92508
Speech therapy, group session
| Rule | CMS value | What it means |
|---|---|---|
| Global period | XXX | The global surgery concept doesn’t apply. |
| Multiple procedures | 5 | Therapy reduction: practice expense of the second and later units is reduced. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 7 | Therapy service: the split doesn’t apply. |
What modifiers do to the payment
Modifier CQ · payment effect
With and without the modifier
92508 without CQ · national office
$24.05
Speech therapy, group session
92508-CQ · Allowed amount unchanged
$24.05
Medicare cuts its own payment by 15% after the patient’s 20% coinsurance; the allowed amount stays the same. On $100 allowed: $20 coinsurance, then Medicare pays $68 instead of $80.
How 92508 has changed in Marin County, CA
92508 · Office / nonfacility
$30.12
Effective 2026-10-01
The base rate is $0.45 higher than on 2025-10-01, moving from $29.67 to $30.12 (1.5%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.
What changed, release by release
January 1, 2026
RVU26A
$29.67changed to$30.12
- Conversion factor 32.3465 changed to 33.4009
- Practice expense RVU 0.39 changed to 0.38
- Work GPCI 1.088 changed to 1.095
- Practice expense GPCI 1.419 changed to 1.410
- Malpractice GPCI 0.470 changed to 0.459
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$30.53changed to$29.67
- Conversion factor 33.2875 changed to 32.3465
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$30.03changed to$30.53
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$29.49changed to$30.03
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 0.37 changed to 0.39
- Work GPCI 1.082 changed to 1.088
- Practice expense GPCI 1.374 changed to 1.419
- Malpractice GPCI 0.487 changed to 0.470
January 1, 2023
RVU23A
$29.03changed to$29.49
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 0.36 changed to 0.37
- Work GPCI 1.077 changed to 1.082
- Practice expense GPCI 1.329 changed to 1.374
- Malpractice GPCI 0.504 changed to 0.487
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$28.52changed to$29.03
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 0.35 changed to 0.36
- Work GPCI 1.071 changed to 1.077
- Practice expense GPCI 1.311 changed to 1.329
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$28.83changed to$28.52
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 0.34 changed to 0.35
- Work GPCI 1.068 changed to 1.071
- Practice expense GPCI 1.299 changed to 1.311
- Malpractice GPCI 0.481 changed to 0.504
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$28.18changed to$28.83
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 0.33 changed to 0.34
- Work GPCI 1.065 changed to 1.068
- Practice expense GPCI 1.291 changed to 1.299
- Malpractice GPCI 0.458 changed to 0.481
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$27.05changed to$28.18
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 0.31 changed to 0.33
- Work GPCI 1.062 changed to 1.065
- Practice expense GPCI 1.279 changed to 1.291
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$26.84changed to$27.05
- Conversion factor 35.8887 changed to 35.9996
- Work GPCI 1.058 changed to 1.062
- Practice expense GPCI 1.271 changed to 1.279
- Malpractice GPCI 0.477 changed to 0.458
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
No ratechanged to$26.84
Held through RVU17B, RVU17C, RVU17D.
January 1, 2013
RVU13AR
Earliest loaded release: No rate
Held through RVU13B, RVU13C, RVU13D, RVU14A, RVU14B, RVU14C, RVU14D, RVU15A, RVU15B, RVU15C, RVU15D, RVU16A, RVU16B, RVU16C, RVU16D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $30.12 | Not available in this setting | RVU26D |
| 2026-07-01 | $30.12 | Not available in this setting | RVU26C |
| 2026-04-01 | $30.12 | Not available in this setting | RVU26B |
| 2026-01-01 | $30.12 | Not available in this setting | RVU26A |
| 2025-10-01 | $29.67 | Not available in this setting | RVU25D |
| 2025-07-01 | $29.67 | Not available in this setting | RVU25C |
| 2025-04-01 | $29.67 | Not available in this setting | RVU25B |
| 2025-01-01 | $29.67 | Not available in this setting | RVU25A |
| 2024-10-01 | $30.53 | Not available in this setting | RVU24D |
| 2024-07-01 | $30.53 | Not available in this setting | RVU24C |
| 2024-04-01 | $30.53 | Not available in this setting | RVU24B |
| 2024-03-09 | $30.53 | Not available in this setting | RVU24AR |
| 2024-01-01 | $30.03 | Not available in this setting | RVU24A |
| 2023-10-01 | $29.49 | Not available in this setting | RVU23D |
| 2023-07-01 | $29.49 | Not available in this setting | RVU23C |
| 2023-04-01 | $29.49 | Not available in this setting | RVU23B |
| 2023-01-01 | $29.49 | Not available in this setting | RVU23A |
| 2022-10-01 | $29.03 | Not available in this setting | RVU22D |
| 2022-07-01 | $29.03 | Not available in this setting | RVU22C |
| 2022-04-01 | $29.03 | Not available in this setting | RVU22B |
| 2022-01-01 | $29.03 | Not available in this setting | RVU22A |
| 2021-10-01 | $28.52 | Not available in this setting | RVU21D |
| 2021-07-01 | $28.52 | Not available in this setting | RVU21C |
| 2021-04-01 | $28.52 | Not available in this setting | RVU21B |
| 2021-01-01 | $28.52 | Not available in this setting | RVU21A |
| 2020-10-01 | $28.83 | Not available in this setting | RVU20D |
| 2020-07-01 | $28.83 | Not available in this setting | RVU20C |
| 2020-04-01 | $28.83 | Not available in this setting | RVU20B |
| 2020-01-01 | $28.83 | Not available in this setting | RVU20A |
| 2019-10-01 | $28.18 | Not available in this setting | RVU19D |
| 2019-07-01 | $28.18 | Not available in this setting | RVU19C |
| 2019-04-01 | $28.18 | Not available in this setting | RVU19B |
| 2019-01-01 | $28.18 | Not available in this setting | RVU19A |
| 2018-10-01 | $27.05 | Not available in this setting | RVU18D |
| 2018-07-01 | $27.05 | Not available in this setting | RVU18C |
| 2018-04-01 | $27.05 | Not available in this setting | RVU18B |
| 2018-01-01 | $27.05 | Not available in this setting | RVU18AR1 |
| 2017-10-01 | $26.84 | Not available in this setting | RVU17D |
| 2017-07-01 | $26.84 | Not available in this setting | RVU17C |
| 2017-04-01 | $26.84 | Not available in this setting | RVU17B |
| 2017-01-01 | $26.84 | Not available in this setting | RVU17A |
| 2016-10-01 | Rate data unavailable | Not available in this setting | RVU16D |
| 2016-07-01 | Rate data unavailable | Not available in this setting | RVU16C |
| 2016-04-01 | Rate data unavailable | Not available in this setting | RVU16B |
| 2016-01-01 | Rate data unavailable | Not available in this setting | RVU16A |
| 2015-10-01 | Rate data unavailable | Not available in this setting | RVU15D |
| 2015-07-01 | Rate data unavailable | Not available in this setting | RVU15C |
| 2015-04-01 | Rate data unavailable | Not available in this setting | RVU15B |
| 2015-01-01 | Rate data unavailable | Not available in this setting | RVU15A |
| 2014-10-01 | Rate data unavailable | Not available in this setting | RVU14D |
| 2014-07-01 | Rate data unavailable | Not available in this setting | RVU14C |
| 2014-04-01 | Rate data unavailable | Not available in this setting | RVU14B |
| 2014-01-01 | Rate data unavailable | Not available in this setting | RVU14A |
| 2013-10-01 | Rate data unavailable | Not available in this setting | RVU13D |
| 2013-07-01 | Rate data unavailable | Not available in this setting | RVU13C |
| 2013-04-01 | Rate data unavailable | Not available in this setting | RVU13B |
| 2013-01-01 | Rate data unavailable | Not available in this setting | RVU13AR |
Where the Marin County, CA rate applies
Marin County, CA is a Medicare payment area, not a city. Our Census mapping connects it to 31 cities and communities in California. Some span more than one payment area; confirm with the service ZIP.
- Alto
- Belvedere
- Black Point-Green Point
- Bolinas
- Corte Madera
- Dillon Beach
- Fairfax
- Inverness
92508 billing questions
When should 92508 be used instead of 92507?
Use 92508 when the patient receives skilled treatment as part of a group session. Use 92507 for individual treatment.
Is the group service billed once for the whole group?
No. Report the service for each patient who receives treatment, with documentation supporting that patient’s participation and skilled care.
Can a professional component modifier be appended?
No. CMS identifies this as a therapy service for which the professional component modifier does not apply.
How does the therapy multiple procedure payment reduction affect 92508?
When multiple therapy units are reported on the same day, CMS reduces the practice-expense portion for the second and subsequent units.
What documentation supports reporting a group session?
Document the group format, the patient’s individualized treatment goals, skilled interventions, participation, and response to treatment.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
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