CPT code 92508: Speech therapy, group session2026 Medicare rate & RVUs in Fort Worth, TX

Report 92508 for skilled speech-language treatment delivered to multiple patients together, rather than individual treatment for one patient.

CMS RVU26DEffective Oct 1, 2026One payment locality6.9K Medicare services in 2024

In Fort Worth, TX, Medicare pays $23.93 for 92508 in the office.

$23.93Office (non-facility)
Not available in this settingHospital or facility
−0.5%vs the national office rate ($24.05)

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.

We’ll open 92508 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Fort Worth, TX
  2. What 92508 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

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 Fort Worth, TX 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. Fort Worth, TX pays $23.93. The RVUs are the same everywhere; the geographic indexes change the dollars.

92508 in Fort Worth, TX vs other payment areas
  1. Fort Worth, TX · this page$23.93
  2. Austin, TX · Texas$24.77+$0.84
  3. Beaumont, TX · Texas$22.88−$1.05
  4. Brazoria, TX · Texas$23.95+$0.02
  5. Dallas, TX · Texas$24.05+$0.12
  6. Galveston, TX · Texas$23.99+$0.06
  7. Houston, TX · Texas$24.17+$0.24

Other areas in Texas first, then benchmark localities. Bars start at $0.

Every other payment area

92508 in every other Medicare payment locality
Payment localityOfficeFacility
Rest of TexasTexas$23.37—
Los Angeles, CACalifornia$26.71—
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—

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
92508 office rate range by state
State / territoryOffice rate rangeLocalities
AK$30.231
AL$22.321
AR$22.101
AZ$23.611
CA$25.30–$30.7229
CO$24.921
CT$25.321
DC$26.941
DE$23.921
FL$23.66–$25.083
GA$22.74–$24.352
GU$25.651
HI$25.651
IA$22.771
ID$22.861
IL$23.13–$24.734
IN$22.951
KS$22.661
KY$22.611
LA$22.58–$23.352
MA$24.83–$26.932
MD$24.28–$26.943
ME$22.91–$23.812
MI$22.99–$23.832
MN$24.181
MO$22.29–$23.443
MS$22.201
MT$24.051
NC$23.081
ND$23.851
NE$22.861
NH$24.531
NJ$25.69–$26.802
NM$23.061
NV$24.011
NY$23.31–$27.445
OH$22.951
OK$22.621
OR$23.90–$25.552
PA$22.99–$24.832
PR$24.181
RI$24.641
SC$23.031
SD$23.831
TN$22.741
TX$22.88–$24.778
UT$23.251
VA$23.73–$26.942
VI$24.181
VT$23.761
WA$24.78–$27.422
WI$23.281
WV$22.531
WY$23.961

See 92508 in every payment locality

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

Office or facility?

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 Fort Worth, TX 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

100

Locality
Fort Worth, TX
Physician work
1.009
Practice expense
0.986
Malpractice
0.871
Office calculation for 92508 in Fort Worth, TX
ComponentRVULocality factorAdjusted
Physician work0.33× 1.0090.3330
Practice expense0.38× 0.9860.3747
Malpractice0.01× 0.8710.0087
Total RVUs0.7164
Conversion factor× 33.4009

Office rate, Fort Worth, TX$23.93

Office: (0.33 × 1.009 + 0.38 × 0.986 + 0.01 × 0.871) × $33.4009 = $23.93

Open 92508 in the RVU calculator

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

RuleCMS valueWhat it means
Global periodXXXThe global surgery concept doesn’t apply.
Multiple procedures5Therapy reduction: practice expense of the second and later units is reduced.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)0Not paid without supporting documentation.
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical7Therapy 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 Fort Worth, TX

92508 · Office / nonfacility

$23.93

Effective 2026-10-01

The base rate is $0.26 higher than on 2025-10-01, moving from $23.67 to $23.93 (1.1%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

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
  1. January 1, 2026

    RVU26A

    $23.67changed to$23.93

    • Conversion factor 32.3465 changed to 33.4009
    • Practice expense RVU 0.39 changed to 0.38
    • Work GPCI 1.011 changed to 1.009
    • Practice expense GPCI 0.998 changed to 0.986
    • Malpractice GPCI 0.902 changed to 0.871

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $24.36changed to$23.67

    • Conversion factor 33.2875 changed to 32.3465

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $23.96changed to$24.36

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $24.06changed to$23.96

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 0.37 changed to 0.39
    • Work GPCI 1.013 changed to 1.011
    • Practice expense GPCI 0.996 changed to 0.998
    • Malpractice GPCI 0.721 changed to 0.902
  5. January 1, 2023

    RVU23A

    $24.19changed to$24.06

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 0.36 changed to 0.37
    • Work GPCI 1.016 changed to 1.013
    • Practice expense GPCI 0.995 changed to 0.996
    • Malpractice GPCI 0.539 changed to 0.721

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $24.04changed to$24.19

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 0.35 changed to 0.36

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $24.43changed to$24.04

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 0.34 changed to 0.35
    • Work GPCI 1.011 changed to 1.016
    • Practice expense GPCI 0.991 changed to 0.995
    • Malpractice GPCI 0.643 changed to 0.539

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $23.97changed to$24.43

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 0.33 changed to 0.34
    • Work GPCI 1.007 changed to 1.011
    • Practice expense GPCI 0.986 changed to 0.991
    • Malpractice GPCI 0.747 changed to 0.643

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $23.24changed to$23.97

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 0.31 changed to 0.33

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $23.21changed to$23.24

    • Conversion factor 35.8887 changed to 35.9996
    • Work GPCI 1.006 changed to 1.007
    • Practice expense GPCI 0.991 changed to 0.986
    • Malpractice GPCI 0.760 changed to 0.747

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $23.55changed to$23.21

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 0.32 changed to 0.31
    • Work GPCI 1.005 changed to 1.006
    • Practice expense GPCI 0.995 changed to 0.991
    • Malpractice GPCI 0.772 changed to 0.760

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $23.64changed to$23.55

    • Conversion factor 35.9335 changed to 35.8043

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $23.52changed to$23.64

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $23.45changed to$23.52

    • Conversion factor 35.8228 changed to 35.7547
    • Work GPCI 1.002 changed to 1.005
    • Practice expense GPCI 0.987 changed to 0.995
    • Malpractice GPCI 0.799 changed to 0.772

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $20.50changed to$23.45

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 0.27 changed to 0.32
    • Work GPCI 1.000 changed to 1.002
    • Practice expense GPCI 0.979 changed to 0.987
    • Malpractice GPCI 0.826 changed to 0.799

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $20.50

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$23.93Not available in this settingRVU26D
2026-07-01$23.93Not available in this settingRVU26C
2026-04-01$23.93Not available in this settingRVU26B
2026-01-01$23.93Not available in this settingRVU26A
2025-10-01$23.67Not available in this settingRVU25D
2025-07-01$23.67Not available in this settingRVU25C
2025-04-01$23.67Not available in this settingRVU25B
2025-01-01$23.67Not available in this settingRVU25A
2024-10-01$24.36Not available in this settingRVU24D
2024-07-01$24.36Not available in this settingRVU24C
2024-04-01$24.36Not available in this settingRVU24B
2024-03-09$24.36Not available in this settingRVU24AR
2024-01-01$23.96Not available in this settingRVU24A
2023-10-01$24.06Not available in this settingRVU23D
2023-07-01$24.06Not available in this settingRVU23C
2023-04-01$24.06Not available in this settingRVU23B
2023-01-01$24.06Not available in this settingRVU23A
2022-10-01$24.19Not available in this settingRVU22D
2022-07-01$24.19Not available in this settingRVU22C
2022-04-01$24.19Not available in this settingRVU22B
2022-01-01$24.19Not available in this settingRVU22A
2021-10-01$24.04Not available in this settingRVU21D
2021-07-01$24.04Not available in this settingRVU21C
2021-04-01$24.04Not available in this settingRVU21B
2021-01-01$24.04Not available in this settingRVU21A
2020-10-01$24.43Not available in this settingRVU20D
2020-07-01$24.43Not available in this settingRVU20C
2020-04-01$24.43Not available in this settingRVU20B
2020-01-01$24.43Not available in this settingRVU20A
2019-10-01$23.97Not available in this settingRVU19D
2019-07-01$23.97Not available in this settingRVU19C
2019-04-01$23.97Not available in this settingRVU19B
2019-01-01$23.97Not available in this settingRVU19A
2018-10-01$23.24Not available in this settingRVU18D
2018-07-01$23.24Not available in this settingRVU18C
2018-04-01$23.24Not available in this settingRVU18B
2018-01-01$23.24Not available in this settingRVU18AR1
2017-10-01$23.21Not available in this settingRVU17D
2017-07-01$23.21Not available in this settingRVU17C
2017-04-01$23.21Not available in this settingRVU17B
2017-01-01$23.21Not available in this settingRVU17A
2016-10-01$23.55Not available in this settingRVU16D
2016-07-01$23.55Not available in this settingRVU16C
2016-04-01$23.55Not available in this settingRVU16B
2016-01-01$23.55Not available in this settingRVU16A
2015-10-01$23.64Not available in this settingRVU15D
2015-07-01$23.64Not available in this settingRVU15C
2015-04-01$23.52Not available in this settingRVU15B
2015-01-01$23.52Not available in this settingRVU15A
2014-10-01$23.45Not available in this settingRVU14D
2014-07-01$23.45Not available in this settingRVU14C
2014-04-01$23.45Not available in this settingRVU14B
2014-01-01$23.45Not available in this settingRVU14A
2013-10-01$20.50Not available in this settingRVU13D
2013-07-01$20.50Not available in this settingRVU13C
2013-04-01$20.50Not available in this settingRVU13B
2013-01-01$20.50Not available in this settingRVU13AR

Price 92508 for an earlier date of service

Where the Fort Worth, TX rate applies

Fort Worth, TX is a Medicare payment area, not a city. Our Census mapping connects it to 45 cities and communities in Texas. Some span more than one payment area; confirm with the service ZIP.

Browse all communities in Texas

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
RVUs for 92508PPRRVU2026_Oct_nonQPP.csv, line 11,780 (RVU26D)
Geographic factors for Fort Worth, TXGPCI2026.csv, line 100 (RVU26D)

Open CMS sourceHow we calculate rates

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