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

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 Nevada, Medicare pays $90.80 for 92520 in the office and $32.29 when it’s performed in a hospital or facility.

$90.80Office (non-facility)
$32.29Hospital or facility
−0.1%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 Nevada
  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 Nevada 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. Nevada pays $90.80. The RVUs are the same everywhere; the geographic indexes change the dollars.

92520 in Nevada vs other payment areas
  1. Nevada · this page$90.80
  2. Los Angeles, CA · California$103.67+$12.87
  3. Washington, DC area · District of Columbia$103.95+$13.15
  4. Miami, FL · Florida$94.57+$3.77
  5. Chicago, IL · Illinois$92.22+$1.42
  6. Manhattan, NY · New York$103.46+$12.66
  7. Alaska · Alaska$107.02+$16.22

Other areas in Nevada 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 Nevada 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

73

Locality
Nevada
Physician work
1.000
Practice expense
1.001
Malpractice
0.833
Office calculation for 92520 in Nevada
ComponentRVULocality factorAdjusted
Physician work0.73× 1.0000.7300
Practice expense1.97× 1.0011.9720
Malpractice0.02× 0.8330.0167
Total RVUs2.7186
Conversion factor× 33.4009

Office rate, Nevada$90.80

Office: (0.73 × 1 + 1.97 × 1.001 + 0.02 × 0.833) × $33.4009 = $90.80

Facility: (0.73 × 1 + 0.22 × 1.001 + 0.02 × 0.833) × $33.4009 = $32.29

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, Nevada
Often billed with
92524Voice evaluation, behavioral and perceptual analysisA qualitative voice and resonance analysis may complement objective laryngeal function testing.$109.43
31579Laryngoscopy, with stroboscopyLaryngeal stroboscopy provides visualization that may accompany functional voice testing.$193.85
92511Nasopharyngoscopy, endoscopic nasopharynx examNasopharyngoscopy may be performed as a separate anatomic examination during a voice workup.$115.77

How 92520 has changed in Nevada

92520 · Office / nonfacility

$90.80

Effective 2026-10-01

The base rate is $3.29 higher than on 2025-10-01, moving from $87.51 to $90.80 (3.8%).

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

    $87.51changed to$90.80

    • 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 1.000 changed to 1.001
    • Malpractice GPCI 0.844 changed to 0.833

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $87.39changed to$87.51

    • 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

    $85.96changed to$87.39

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $86.21changed to$85.96

    • 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
    • Malpractice GPCI 1.098 changed to 0.844

  5. January 1, 2023

    RVU23A

    $84.71changed to$86.21

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 1.64 changed to 1.75
    • Work GPCI 1.005 changed to 1.000
    • Malpractice GPCI 1.351 changed to 1.098

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $82.97changed to$84.71

    • 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

    $82.63changed to$82.97

    • 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
    • Work GPCI 1.004 changed to 1.005
    • Malpractice GPCI 1.130 changed to 1.351

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $81.17changed to$82.63

    • 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
    • Work GPCI 1.002 changed to 1.004
    • Practice expense GPCI 1.017 changed to 1.000
    • Malpractice GPCI 0.909 changed to 1.130

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $79.21changed to$81.17

    • 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

    $78.82changed to$79.21

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 1.35 changed to 1.38
    • Work GPCI 1.004 changed to 1.002
    • Practice expense GPCI 1.034 changed to 1.017
    • Malpractice GPCI 0.946 changed to 0.909

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $79.15changed to$78.82

    • 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
    • Work GPCI 1.005 changed to 1.004
    • Practice expense GPCI 1.051 changed to 1.034
    • Malpractice GPCI 0.982 changed to 0.946

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $78.70changed to$79.15

    • 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

    $78.31changed to$78.70

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $77.99changed to$78.31

    • 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
    • Work GPCI 1.001 changed to 1.005
    • Practice expense GPCI 1.055 changed to 1.051
    • Malpractice GPCI 1.107 changed to 0.982

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $78.31changed to$77.99

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 1.42 changed to 1.31
    • Work GPCI 1.000 changed to 1.001
    • Practice expense GPCI 1.058 changed to 1.055
    • Malpractice GPCI 1.232 changed to 1.107

    Held through RVU14B, RVU14C, RVU14D.

  16. October 1, 2013

    RVU13D

    No ratechanged to$78.31

  17. January 1, 2013

    RVU13AR

    Earliest loaded release: No rate

    Held through RVU13B, RVU13C.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$90.80$32.29RVU26D
2026-07-01$90.80$32.29RVU26C
2026-04-01$90.80$32.29RVU26B
2026-01-01$90.80$32.29RVU26A
2025-10-01$87.51$38.66RVU25D
2025-07-01$87.51$38.66RVU25C
2025-04-01$87.51$38.66RVU25B
2025-01-01$87.51$38.66RVU25A
2024-10-01$87.39$39.12RVU24D
2024-07-01$87.39$39.12RVU24C
2024-04-01$87.39$39.12RVU24B
2024-03-09$87.39$39.12RVU24AR
2024-01-01$85.96$38.48RVU24A
2023-10-01$86.21$40.12RVU23D
2023-07-01$86.21$40.12RVU23C
2023-04-01$86.21$40.12RVU23B
2023-01-01$86.21$40.12RVU23A
2022-10-01$84.71$40.76RVU22D
2022-07-01$84.71$40.76RVU22C
2022-04-01$84.71$40.76RVU22B
2022-01-01$84.71$40.76RVU22A
2021-10-01$82.97$40.75RVU21D
2021-07-01$82.97$40.75RVU21C
2021-04-01$82.97$40.75RVU21B
2021-01-01$82.97$40.75RVU21A
2020-10-01$82.63$42.57RVU20D
2020-07-01$82.63$42.57RVU20C
2020-04-01$82.63$42.57RVU20B
2020-01-01$82.63$42.57RVU20A
2019-10-01$81.17$41.59RVU19D
2019-07-01$81.17$41.59RVU19C
2019-04-01$81.17$41.59RVU19B
2019-01-01$81.17$41.59RVU19A
2018-10-01$79.21$41.87RVU18D
2018-07-01$79.21$41.87RVU18C
2018-04-01$79.21$41.87RVU18B
2018-01-01$79.21$41.87RVU18AR1
2017-10-01$78.82$42.45RVU17D
2017-07-01$78.82$42.45RVU17C
2017-04-01$78.82$42.45RVU17B
2017-01-01$78.82$42.45RVU17A
2016-10-01$79.15$43.02RVU16D
2016-07-01$79.15$43.02RVU16C
2016-04-01$79.15$43.02RVU16B
2016-01-01$79.15$43.02RVU16A
2015-10-01$78.70$42.82RVU15D
2015-07-01$78.70$42.82RVU15C
2015-04-01$78.31$42.61RVU15B
2015-01-01$78.31$42.61RVU15A
2014-10-01$77.99$42.84RVU14D
2014-07-01$77.99$42.84RVU14C
2014-04-01$77.99$42.84RVU14B
2014-01-01$77.99$42.84RVU14A
2013-10-01$78.31$41.59RVU13D
2013-07-01Rate data unavailableRate data unavailableRVU13C
2013-04-01Rate data unavailableRate data unavailableRVU13B
2013-01-01Rate data unavailableRate data unavailableRVU13AR

Price 92520 for an earlier date of service

Where the Nevada rate applies

Nevada is a Medicare payment area, not a city. Our Census mapping connects it to 138 cities and communities in Nevada. Some span more than one payment area; confirm with the service ZIP.

  • Alamo
  • Amargosa Valley
  • Austin
  • Baker
  • Battle Mountain
  • Beatty
  • Beaverdam
  • Bennett Springs

Browse all communities in Nevada

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 NevadaGPCI2026.csv, line 73 (RVU26D)

Open CMS sourceHow we calculate rates

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