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CPT code 92520: Laryngeal testing, aerodynamic and acoustic measures2026 Medicare rate & RVUs in North Carolina

Reports objective testing of laryngeal voice function, such as aerodynamic and acoustic measures, during evaluation of dysphonia or other voice concerns.

CMS RVU26DEffective Oct 1, 2026One payment locality8K Medicare services in 2024

In North Carolina, Medicare pays $86.20 for 92520 in the office and $31.67 when it’s performed in a hospital or facility.

$86.20Office (non-facility)
$31.67Hospital or facility
−5.1%vs the national office rate ($90.85)

Check a contract rate as a % of Medicare · 92520 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 92520 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in North Carolina
  2. What 92520 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 92520 covers

This service assesses how the larynx produces voice using objective aerodynamic and acoustic measures. A voice-specialized speech-language pathologist or an otolaryngology team may perform it in an outpatient voice clinic or another setting equipped for voice testing. It can help characterize concerns such as persistent hoarseness or changes in vocal function, including during assessment before or after treatment.

Select this code when the documented service is laryngeal function testing, rather than a behavioral or qualitative assessment of voice alone. The record should identify the testing performed, relevant findings or measurements, and the clinical reason for the study. Report the service based on the testing actually completed and documented. CMS assigns physician fee schedule work, practice expense, and malpractice relative value units, with practice expense values differing between office and facility settings.

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 Carolina compares for 92520

Across 109 of 109 payment localities, the office rate for 92520 runs from $81.25 in Arkansas to $122.31 in San Benito County, CA. North Carolina pays $86.20. The RVUs are the same everywhere; the geographic indexes change the dollars.

92520 in North Carolina vs other payment areas
  1. North Carolina · this page$86.20
  2. Los Angeles, CA · California$103.67+$17.47
  3. Washington, DC area · District of Columbia$103.95+$17.75
  4. Miami, FL · Florida$94.57+$8.37
  5. Chicago, IL · Illinois$92.22+$6.02
  6. Manhattan, NY · New York$103.46+$17.26
  7. Alaska · Alaska$107.02+$20.82

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

Every other payment area

92520 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$82.34$31.19
ArkansasArkansas$81.25$31.04
ArizonaArizona$88.71$32.07
Bakersfield, CACalifornia$97.37$33.31
Chico, CACalifornia$97.27$33.21
El Centro, CACalifornia$97.28$33.21
Fresno, CACalifornia$97.27$33.21
Hanford, CACalifornia$97.27$33.21

92520 rates by state

Office rate range in each state. Select a state to see its payment localities.

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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.

$81.25

$109.79

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
92520 office rate range by state
State / territoryOffice rate rangeLocalities
AK$107.021
AL$82.341
AR$81.251
AZ$88.711
CA$97.27–$122.3129
CO$95.211
CT$96.541
DC$103.951
DE$90.121
FL$88.29–$94.573
GA$83.87–$92.112
GU$99.581
HI$99.581
IA$84.851
ID$85.231
IL$85.50–$93.314
IN$85.701
KS$84.201
KY$83.491
LA$83.26–$87.062
MA$94.59–$104.542
MD$91.83–$103.953
ME$85.33–$90.012
MI$85.21–$89.012
MN$92.291
MO$81.75–$87.693
MS$81.531
MT$90.851
NC$86.201
ND$90.451
NE$85.371
NH$93.461
NJ$97.94–$102.962
NM$85.521
NV$90.801
NY$87.36–$105.425
OH$85.131
OK$83.661
OR$90.39–$98.372
PA$85.42–$94.122
PR$91.561
RI$93.411
SC$85.751
SD$90.411
TN$84.551
TX$84.88–$94.648
UT$86.831
VA$89.54–$103.952
VI$91.561
VT$89.861
WA$94.50–$106.882
WI$87.621
WV$82.521
WY$90.681

See 92520 in every payment locality

How the 92520 rate is calculated

Each of 92520’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 · 92520

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.73

0.73 RVUs× 1.000 GPCI

Practice expense1.97

1.97 RVUs× 1.000 GPCI

Malpractice0.02

0.02 RVUs× 1.000 GPCI

Adjusted RVUs

2.7200

Conversion factor

$33.4009

Medicare rate

$90.85

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact North Carolina inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

11,787

Code
92520
Physician work
0.73
Practice expense
1.97
Malpractice
0.02

GPCI2026.csv

83

Locality
North Carolina
Physician work
1.000
Practice expense
0.933
Malpractice
0.639
Office calculation for 92520 in North Carolina
ComponentRVULocality factorAdjusted
Physician work0.73× 1.0000.7300
Practice expense1.97× 0.9331.8380
Malpractice0.02× 0.6390.0128
Total RVUs2.5808
Conversion factor× 33.4009

Office rate, North Carolina$86.20

Office: (0.73 × 1 + 1.97 × 0.933 + 0.02 × 0.639) × $33.4009 = $86.20

Facility: (0.73 × 1 + 0.22 × 0.933 + 0.02 × 0.639) × $33.4009 = $31.67

Open 92520 in the RVU calculator

Payment rules and modifiers for 92520

92520 has no global surgery period, no multiple-procedure, bilateral or assistant-at-surgery adjustment, and no professional/technical split. What changes the payment is where the service happens: the place of service on the claim decides whether Medicare pays the office or the facility rate.

Place of service · 92520

Which rate does Medicare pay?

The POS code on the claim line (CMS-1500 box 24B).

POS 11 · non-facility rate · national

$90.85

Non-facility (office)
$90.85
Facility
$32.40

Higher because the practice carries its own overhead.

Codes related to 92520

Related codes aren’t interchangeable: bill the code that matches the service performed.

Codes related to 92520
CodeHow it relatesOffice range, North Carolina
Often billed with
92524Voice evaluation, behavioral and perceptual analysisA qualitative voice and resonance analysis may complement objective laryngeal function testing.$106.22
31579Laryngoscopy, with stroboscopyLaryngeal stroboscopy provides visualization that may accompany functional voice testing.$183.73
92511Nasopharyngoscopy, endoscopic nasopharynx examNasopharyngoscopy may be performed as a separate anatomic examination during a voice workup.$109.06

How 92520 has changed in North Carolina

92520 · Office / nonfacility

$86.20

Effective 2026-10-01

The base rate is $3.49 higher than on 2025-10-01, moving from $82.71 to $86.20 (4.2%).

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

    $82.71changed to$86.20

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.75 changed to 0.73
    • Practice expense RVU 1.93 changed to 1.97
    • Malpractice RVU 0.03 changed to 0.02
    • Practice expense GPCI 0.926 changed to 0.933
    • Malpractice GPCI 0.665 changed to 0.639

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $82.65changed to$82.71

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 1.85 changed to 1.93

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $81.31changed to$82.65

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $81.39changed to$81.31

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 1.75 changed to 1.85
    • Malpractice RVU 0.04 changed to 0.03
    • Practice expense GPCI 0.927 changed to 0.926
    • Malpractice GPCI 0.742 changed to 0.665

  5. January 1, 2023

    RVU23A

    $79.76changed to$81.39

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 1.64 changed to 1.75
    • Practice expense GPCI 0.928 changed to 0.927
    • Malpractice GPCI 0.819 changed to 0.742

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $78.15changed to$79.76

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 1.57 changed to 1.64

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $78.11changed to$78.15

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 1.48 changed to 1.57
    • Malpractice RVU 0.05 changed to 0.04
    • Practice expense GPCI 0.930 changed to 0.928
    • Malpractice GPCI 0.757 changed to 0.819

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $76.35changed to$78.11

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 1.44 changed to 1.48
    • Malpractice RVU 0.04 changed to 0.05
    • Practice expense GPCI 0.931 changed to 0.930
    • Malpractice GPCI 0.695 changed to 0.757

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $74.50changed to$76.35

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 1.38 changed to 1.44
    • Malpractice RVU 0.05 changed to 0.04

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $73.34changed to$74.50

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 1.35 changed to 1.38
    • Malpractice GPCI 0.732 changed to 0.695

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $72.79changed to$73.34

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 1.33 changed to 1.35
    • Malpractice RVU 0.06 changed to 0.05
    • Practice expense GPCI 0.930 changed to 0.931
    • Malpractice GPCI 0.768 changed to 0.732

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $72.44changed to$72.79

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 1.32 changed to 1.33
    • Malpractice RVU 0.05 changed to 0.06

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $72.08changed to$72.44

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $71.51changed to$72.08

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 1.31 changed to 1.32
    • Malpractice RVU 0.04 changed to 0.05
    • Practice expense GPCI 0.929 changed to 0.930
    • Malpractice GPCI 0.732 changed to 0.768

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $71.25changed to$71.51

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 1.42 changed to 1.31
    • Practice expense GPCI 0.927 changed to 0.929
    • Malpractice GPCI 0.695 changed to 0.732

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $71.25

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$86.20$31.67RVU26D
2026-07-01$86.20$31.67RVU26C
2026-04-01$86.20$31.67RVU26B
2026-01-01$86.20$31.67RVU26A
2025-10-01$82.71$37.49RVU25D
2025-07-01$82.71$37.49RVU25C
2025-04-01$82.71$37.49RVU25B
2025-01-01$82.71$37.49RVU25A
2024-10-01$82.65$37.96RVU24D
2024-07-01$82.65$37.96RVU24C
2024-04-01$82.65$37.96RVU24B
2024-03-09$82.65$37.96RVU24AR
2024-01-01$81.31$37.34RVU24A
2023-10-01$81.39$38.67RVU23D
2023-07-01$81.39$38.67RVU23C
2023-04-01$81.39$38.67RVU23B
2023-01-01$81.39$38.67RVU23A
2022-10-01$79.76$38.97RVU22D
2022-07-01$79.76$38.97RVU22C
2022-04-01$79.76$38.97RVU22B
2022-01-01$79.76$38.97RVU22A
2021-10-01$78.15$38.97RVU21D
2021-07-01$78.15$38.97RVU21C
2021-04-01$78.15$38.97RVU21B
2021-01-01$78.15$38.97RVU21A
2020-10-01$78.11$40.85RVU20D
2020-07-01$78.11$40.85RVU20C
2020-04-01$78.11$40.85RVU20B
2020-01-01$78.11$40.85RVU20A
2019-10-01$76.35$40.11RVU19D
2019-07-01$76.35$40.11RVU19C
2019-04-01$76.35$40.11RVU19B
2019-01-01$76.35$40.11RVU19A
2018-10-01$74.50$40.32RVU18D
2018-07-01$74.50$40.32RVU18C
2018-04-01$74.50$40.32RVU18B
2018-01-01$74.50$40.32RVU18AR1
2017-10-01$73.34$40.59RVU17D
2017-07-01$73.34$40.59RVU17C
2017-04-01$73.34$40.59RVU17B
2017-01-01$73.34$40.59RVU17A
2016-10-01$72.79$40.82RVU16D
2016-07-01$72.79$40.82RVU16C
2016-04-01$72.79$40.82RVU16B
2016-01-01$72.79$40.82RVU16A
2015-10-01$72.44$40.69RVU15D
2015-07-01$72.44$40.69RVU15C
2015-04-01$72.08$40.49RVU15B
2015-01-01$72.08$40.49RVU15A
2014-10-01$71.51$40.56RVU14D
2014-07-01$71.51$40.56RVU14C
2014-04-01$71.51$40.56RVU14B
2014-01-01$71.51$40.56RVU14A
2013-10-01$71.25$39.08RVU13D
2013-07-01$71.25$39.08RVU13C
2013-04-01$71.25$39.08RVU13B
2013-01-01$71.25$39.08RVU13AR

Price 92520 for an earlier date of service

Where the North Carolina rate applies

North Carolina is a Medicare payment area, not a city. Our Census mapping connects it to 785 cities and communities in North Carolina. Some span more than one payment area; confirm with the service ZIP.

  • Aberdeen
  • Advance
  • Ahoskie
  • Alamance
  • Albemarle
  • Alexis
  • Alliance
  • Altamahaw

Browse all communities in North Carolina

92520 billing questions

How does 92520 differ from 92524?

92520 represents objective laryngeal function testing, including aerodynamic or acoustic measures. 92524 is a behavioral and qualitative analysis of voice and resonance.

Does a laryngeal scope replace this testing?

No. A scope documents anatomic visualization, while 92520 represents functional voice testing. Report each service only when it was separately performed and documented.

Who typically performs 92520?

A speech-language pathologist specializing in voice or an otolaryngology team may perform the testing in an outpatient voice clinic or similar setting.

What documentation supports reporting 92520?

Document the clinical reason for testing, the aerodynamic or acoustic procedures performed, and the resulting measurements or findings.

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 92520PPRRVU2026_Oct_nonQPP.csv, line 11,787 (RVU26D)
Geographic factors for North CarolinaGPCI2026.csv, line 83 (RVU26D)

Open CMS sourceHow we calculate rates

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