CPT code 92508: Speech therapy, group session2026 Medicare rate & RVUs in North Dakota
Report 92508 for skilled speech-language treatment delivered to multiple patients together, rather than individual treatment for one patient.
In North Dakota, Medicare pays $23.85 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 North Dakota 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. North Dakota pays $23.85. The RVUs are the same everywhere; the geographic indexes change the dollars.
- North Dakota · this page$23.85
- Los Angeles, CA · California$26.71+$2.86
- Washington, DC area · District of Columbia$26.94+$3.09
- Miami, FL · Florida$25.08+$1.23
- Chicago, IL · Illinois$24.62+$0.77
- Manhattan, NY · New York$27.01+$3.16
- Alaska · Alaska$30.23+$6.38
Other areas in North Dakota first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $22.32 | — |
| ArkansasArkansas | $22.10 | — |
| ArizonaArizona | $23.61 | — |
| Bakersfield, CACalifornia | $25.35 | — |
| Chico, CACalifornia | $25.30 | — |
| El Centro, CACalifornia | $25.30 | — |
| Fresno, CACalifornia | $25.30 | — |
| Hanford, CACalifornia | $25.30 | — |
| 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 | — |
| Marin County, CACalifornia | $30.12 | — |
| 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 | — |
| 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 | — |
| 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 North Dakota 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
84
- Locality
- North Dakota
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.406
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.33 | × 1.000 | 0.3300 |
| Practice expense | 0.38 | × 1.000 | 0.3800 |
| Malpractice | 0.01 | × 0.406 | 0.0041 |
| Total RVUs | 0.7141 | ||
| Conversion factor | × 33.4009 | ||
Office rate, North Dakota$23.85
Office: (0.33 × 1 + 0.38 × 1 + 0.01 × 0.406) × $33.4009 = $23.85
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 North Dakota
92508 · Office / nonfacility
$23.85
Effective 2026-10-01
The base rate is $0.39 higher than on 2025-10-01, moving from $23.46 to $23.85 (1.7%).
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
$23.46changed to$23.85
- Conversion factor 32.3465 changed to 33.4009
- Practice expense RVU 0.39 changed to 0.38
- Malpractice GPCI 0.517 changed to 0.406
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$24.14changed to$23.46
- Conversion factor 33.2875 changed to 32.3465
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$23.75changed to$24.14
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$23.88changed to$23.75
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 0.37 changed to 0.39
- Malpractice GPCI 0.474 changed to 0.517
January 1, 2023
RVU23A
$24.03changed to$23.88
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 0.36 changed to 0.37
- Malpractice GPCI 0.431 changed to 0.474
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$23.88changed to$24.03
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 0.35 changed to 0.36
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$24.36changed to$23.88
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 0.34 changed to 0.35
- Malpractice GPCI 0.485 changed to 0.431
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$23.98changed to$24.36
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 0.33 changed to 0.34
- Malpractice GPCI 0.540 changed to 0.485
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$23.23changed to$23.98
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 0.31 changed to 0.33
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$23.17changed to$23.23
- Conversion factor 35.8887 changed to 35.9996
- Malpractice GPCI 0.547 changed to 0.540
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$23.47changed to$23.17
- Conversion factor 35.8043 changed to 35.8887
- Practice expense RVU 0.32 changed to 0.31
- Malpractice GPCI 0.554 changed to 0.547
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$23.56changed to$23.47
- Conversion factor 35.9335 changed to 35.8043
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$23.44changed to$23.56
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$23.48changed to$23.44
- Conversion factor 35.8228 changed to 35.7547
- Malpractice GPCI 0.536 changed to 0.554
Held through RVU15B.
January 1, 2014
RVU14A
$20.59changed to$23.48
- Conversion factor 34.0230 changed to 35.8228
- Practice expense RVU 0.27 changed to 0.32
- Malpractice GPCI 0.517 changed to 0.536
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: $20.59
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $23.85 | Not available in this setting | RVU26D |
| 2026-07-01 | $23.85 | Not available in this setting | RVU26C |
| 2026-04-01 | $23.85 | Not available in this setting | RVU26B |
| 2026-01-01 | $23.85 | Not available in this setting | RVU26A |
| 2025-10-01 | $23.46 | Not available in this setting | RVU25D |
| 2025-07-01 | $23.46 | Not available in this setting | RVU25C |
| 2025-04-01 | $23.46 | Not available in this setting | RVU25B |
| 2025-01-01 | $23.46 | Not available in this setting | RVU25A |
| 2024-10-01 | $24.14 | Not available in this setting | RVU24D |
| 2024-07-01 | $24.14 | Not available in this setting | RVU24C |
| 2024-04-01 | $24.14 | Not available in this setting | RVU24B |
| 2024-03-09 | $24.14 | Not available in this setting | RVU24AR |
| 2024-01-01 | $23.75 | Not available in this setting | RVU24A |
| 2023-10-01 | $23.88 | Not available in this setting | RVU23D |
| 2023-07-01 | $23.88 | Not available in this setting | RVU23C |
| 2023-04-01 | $23.88 | Not available in this setting | RVU23B |
| 2023-01-01 | $23.88 | Not available in this setting | RVU23A |
| 2022-10-01 | $24.03 | Not available in this setting | RVU22D |
| 2022-07-01 | $24.03 | Not available in this setting | RVU22C |
| 2022-04-01 | $24.03 | Not available in this setting | RVU22B |
| 2022-01-01 | $24.03 | Not available in this setting | RVU22A |
| 2021-10-01 | $23.88 | Not available in this setting | RVU21D |
| 2021-07-01 | $23.88 | Not available in this setting | RVU21C |
| 2021-04-01 | $23.88 | Not available in this setting | RVU21B |
| 2021-01-01 | $23.88 | Not available in this setting | RVU21A |
| 2020-10-01 | $24.36 | Not available in this setting | RVU20D |
| 2020-07-01 | $24.36 | Not available in this setting | RVU20C |
| 2020-04-01 | $24.36 | Not available in this setting | RVU20B |
| 2020-01-01 | $24.36 | Not available in this setting | RVU20A |
| 2019-10-01 | $23.98 | Not available in this setting | RVU19D |
| 2019-07-01 | $23.98 | Not available in this setting | RVU19C |
| 2019-04-01 | $23.98 | Not available in this setting | RVU19B |
| 2019-01-01 | $23.98 | Not available in this setting | RVU19A |
| 2018-10-01 | $23.23 | Not available in this setting | RVU18D |
| 2018-07-01 | $23.23 | Not available in this setting | RVU18C |
| 2018-04-01 | $23.23 | Not available in this setting | RVU18B |
| 2018-01-01 | $23.23 | Not available in this setting | RVU18AR1 |
| 2017-10-01 | $23.17 | Not available in this setting | RVU17D |
| 2017-07-01 | $23.17 | Not available in this setting | RVU17C |
| 2017-04-01 | $23.17 | Not available in this setting | RVU17B |
| 2017-01-01 | $23.17 | Not available in this setting | RVU17A |
| 2016-10-01 | $23.47 | Not available in this setting | RVU16D |
| 2016-07-01 | $23.47 | Not available in this setting | RVU16C |
| 2016-04-01 | $23.47 | Not available in this setting | RVU16B |
| 2016-01-01 | $23.47 | Not available in this setting | RVU16A |
| 2015-10-01 | $23.56 | Not available in this setting | RVU15D |
| 2015-07-01 | $23.56 | Not available in this setting | RVU15C |
| 2015-04-01 | $23.44 | Not available in this setting | RVU15B |
| 2015-01-01 | $23.44 | Not available in this setting | RVU15A |
| 2014-10-01 | $23.48 | Not available in this setting | RVU14D |
| 2014-07-01 | $23.48 | Not available in this setting | RVU14C |
| 2014-04-01 | $23.48 | Not available in this setting | RVU14B |
| 2014-01-01 | $23.48 | Not available in this setting | RVU14A |
| 2013-10-01 | $20.59 | Not available in this setting | RVU13D |
| 2013-07-01 | $20.59 | Not available in this setting | RVU13C |
| 2013-04-01 | $20.59 | Not available in this setting | RVU13B |
| 2013-01-01 | $20.59 | Not available in this setting | RVU13AR |
Where the North Dakota rate applies
North Dakota is a Medicare payment area, not a city. Our Census mapping connects it to 406 cities and communities in North Dakota. Some span more than one payment area; confirm with the service ZIP.
- Abercrombie
- Adams
- Alamo
- Alexander
- Alice
- Almont
- Alsen
- Ambrose
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
Fee sheets
Put 92508 and the rest of your codes on one sheet
Your codes at your locality, with payer contracts beside Medicare.
Build my fee sheet