CPT code 92524: Voice evaluation, behavioral and perceptual analysis2026 Medicare rate & RVUs in Washington, DC area
A speech-language pathologist assesses voice and resonance perceptually to characterize dysphonia or another voice problem and guide clinical management.
In Washington, DC area, Medicare pays $121.04 for 92524 in the office.
Check a contract rate as a % of Medicare · 92524 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 92524 covers
A speech-language pathologist uses listening and structured observation to assess features such as vocal quality, pitch, loudness, and resonance. The evaluation may be appropriate for a patient with hoarseness, vocal strain, or a suspected resonance disorder, including concerns arising after laryngeal surgery. It is performed in settings where speech-language pathology services are provided and focuses on the patient’s voice as heard during assessment, rather than on voice exercises or treatment.
Select this code when the documented service is a behavioral, perceptual analysis of voice and resonance. The record should identify the voice concern, the assessment performed, relevant findings, and the clinical interpretation or plan. CMS classifies this as a therapy service, so a professional-component modifier does not apply. When multiple therapy units are furnished on the same day, practice expense is reduced for the second and later units under the therapy multiple procedure payment reduction.
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 Washington, DC area compares for 92524
Across 109 of 109 payment localities, the office rate for 92524 runs from $102.81 in Arkansas to $144.06 in Alaska. Washington, DC area pays $121.04. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Washington, DC area · this page$121.04
- Los Angeles, CA · California$119.98−$1.06
- Miami, FL · Florida$112.91−$8.13
- Chicago, IL · Illinois$111.52−$9.52
- Manhattan, NY · New York$121.44+$0.40
- Alaska · Alaska$144.06+$23.02
- Alabama · Alabama$103.57−$17.47
Other areas in District of Columbia first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| ArkansasArkansas | $102.81 | — |
| ArizonaArizona | $108.03 | — |
| Bakersfield, CACalifornia | $114.65 | — |
| Chico, CACalifornia | $114.44 | — |
| El Centro, CACalifornia | $114.45 | — |
| Fresno, CACalifornia | $114.44 | — |
| Hanford, CACalifornia | $114.44 | — |
| Madera, CACalifornia | $114.44 | — |
| Merced, CACalifornia | $114.44 | — |
| Modesto, CACalifornia | $114.44 | — |
| Napa, CACalifornia | $127.23 | — |
| Oxnard, CACalifornia | $119.06 | — |
| Redding, CACalifornia | $114.44 | — |
| Rest of CaliforniaCalifornia | $114.44 | — |
| Riverside, CACalifornia | $114.83 | — |
| Sacramento, CACalifornia | $118.64 | — |
| Salinas, CACalifornia | $118.14 | — |
| San Diego, CACalifornia | $119.73 | — |
| Marin County, CACalifornia | $133.32 | — |
| San Francisco, CACalifornia | $133.28 | — |
| San Benito County, CACalifornia | $135.78 | — |
| Santa Clara County, CACalifornia | $135.64 | — |
| San Luis Obispo, CACalifornia | $116.36 | — |
| Santa Cruz, CACalifornia | $119.99 | — |
| Santa Maria, CACalifornia | $118.26 | — |
| Santa Rosa, CACalifornia | $121.14 | — |
| Stockton, CACalifornia | $114.44 | — |
| Vallejo, CACalifornia | $127.18 | — |
| Visalia, CACalifornia | $114.44 | — |
| Yuba City, CACalifornia | $114.44 | — |
| ColoradoColorado | $112.95 | — |
| ConnecticutConnecticut | $114.47 | — |
| DelawareDelaware | $109.24 | — |
| Fort Lauderdale, FLFlorida | $110.94 | — |
| Rest of FloridaFlorida | $108.10 | — |
| Atlanta, GAGeorgia | $110.66 | — |
| Rest of GeorgiaGeorgia | $104.95 | — |
| Hawaii, Guam, HIHawaii | $115.22 | — |
| IowaIowa | $105.17 | — |
| IdahoIdaho | $105.47 | — |
| East St. Louis, ILIllinois | $107.02 | — |
| Rest of IllinoisIllinois | $106.25 | — |
| Suburban Chicago, ILIllinois | $111.98 | — |
| IndianaIndiana | $105.80 | — |
| KansasKansas | $104.79 | — |
| KentuckyKentucky | $104.54 | — |
| New Orleans, LALouisiana | $107.07 | — |
| Rest of LouisianaLouisiana | $104.40 | — |
| Metropolitan Boston, MAMassachusetts | $120.69 | — |
| Rest of MassachusettsMassachusetts | $112.73 | — |
| Baltimore area, MDMaryland | $114.06 | — |
| Rest of MarylandMaryland | $110.65 | — |
| Rest of MaineMaine | $105.62 | — |
| Southern Maine, MEMaine | $108.79 | — |
| Detroit, MIMichigan | $108.69 | — |
| Rest of MichiganMichigan | $105.82 | — |
| MinnesotaMinnesota | $110.14 | — |
| Metropolitan Kansas City, MOMissouri | $106.82 | — |
| Metropolitan St. Louis, MOMissouri | $107.42 | — |
| Rest of MissouriMissouri | $103.40 | — |
| MississippiMississippi | $103.12 | — |
| MontanaMontana | $109.55 | — |
| North CarolinaNorth Carolina | $106.22 | — |
| North DakotaNorth Dakota | $108.96 | — |
| NebraskaNebraska | $105.51 | — |
| New HampshireNew Hampshire | $111.25 | — |
| Northern New JerseyNew Jersey | $120.77 | — |
| Rest of New JerseyNew Jersey | $116.30 | — |
| New MexicoNew Mexico | $106.07 | — |
| NevadaNevada | $109.43 | — |
| NYC suburbs and Long Island, NYNew York | $122.91 | — |
| Poughkeepsie and northern NYC suburbs, NYNew York | $116.87 | — |
| Queens, NYNew York | $122.19 | — |
| Rest of New YorkNew York | $107.04 | — |
| OhioOhio | $105.70 | — |
| OklahomaOklahoma | $104.58 | — |
| Portland, OROregon | $115.26 | — |
| Rest of OregonOregon | $109.08 | — |
| Metropolitan Philadelphia, PAPennsylvania | $112.72 | — |
| Rest of PennsylvaniaPennsylvania | $105.86 | — |
| Puerto RicoPuerto Rico | $110.03 | — |
| Rhode IslandRhode Island | $112.13 | — |
| South CarolinaSouth Carolina | $106.03 | — |
| South DakotaSouth Dakota | $108.89 | — |
| TennesseeTennessee | $105.05 | — |
| Austin, TXTexas | $112.15 | — |
| Beaumont, TXTexas | $105.49 | — |
| Brazoria, TXTexas | $109.45 | — |
| Dallas, TXTexas | $109.81 | — |
| Fort Worth, TXTexas | $109.38 | — |
| Galveston, TXTexas | $109.58 | — |
| Houston, TXTexas | $110.13 | — |
| Rest of TexasTexas | $107.19 | — |
| UtahUtah | $106.79 | — |
| VirginiaVirginia | $108.51 | — |
| Virgin Islands, VIUnited States Virgin Islands | $110.03 | — |
| VermontVermont | $108.62 | — |
| Rest of WashingtonWashington | $112.50 | — |
| King County, WAWashington | $122.66 | — |
| WisconsinWisconsin | $107.00 | — |
| West VirginiaWest Virginia | $104.17 | — |
| WyomingWyoming | $109.29 | — |
92524 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.
$102.81
$144.06
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 | $144.06 | 1 |
| AL | $103.57 | 1 |
| AR | $102.81 | 1 |
| AZ | $108.03 | 1 |
| CA | $114.44–$135.78 | 29 |
| CO | $112.95 | 1 |
| CT | $114.47 | 1 |
| DC | $121.04 | 1 |
| DE | $109.24 | 1 |
| FL | $108.10–$112.91 | 3 |
| GA | $104.95–$110.66 | 2 |
| GU | $115.22 | 1 |
| HI | $115.22 | 1 |
| IA | $105.17 | 1 |
| ID | $105.47 | 1 |
| IL | $106.25–$111.98 | 4 |
| IN | $105.80 | 1 |
| KS | $104.79 | 1 |
| KY | $104.54 | 1 |
| LA | $104.40–$107.07 | 2 |
| MA | $112.73–$120.69 | 2 |
| MD | $110.65–$121.04 | 3 |
| ME | $105.62–$108.79 | 2 |
| MI | $105.82–$108.69 | 2 |
| MN | $110.14 | 1 |
| MO | $103.40–$107.42 | 3 |
| MS | $103.12 | 1 |
| MT | $109.55 | 1 |
| NC | $106.22 | 1 |
| ND | $108.96 | 1 |
| NE | $105.51 | 1 |
| NH | $111.25 | 1 |
| NJ | $116.30–$120.77 | 2 |
| NM | $106.07 | 1 |
| NV | $109.43 | 1 |
| NY | $107.04–$122.91 | 5 |
| OH | $105.70 | 1 |
| OK | $104.58 | 1 |
| OR | $109.08–$115.26 | 2 |
| PA | $105.86–$112.72 | 2 |
| PR | $110.03 | 1 |
| RI | $112.13 | 1 |
| SC | $106.03 | 1 |
| SD | $108.89 | 1 |
| TN | $105.05 | 1 |
| TX | $105.49–$112.15 | 8 |
| UT | $106.79 | 1 |
| VA | $108.51–$121.04 | 2 |
| VI | $110.03 | 1 |
| VT | $108.62 | 1 |
| WA | $112.50–$122.66 | 2 |
| WI | $107.00 | 1 |
| WV | $104.17 | 1 |
| WY | $109.29 | 1 |
How the 92524 rate is calculated
Each of 92524’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 · 92524
RVUs × geographic indexes × conversion factor
Work1.92
1.92 RVUs× 1.000 GPCI
Practice expense1.33
1.33 RVUs× 1.000 GPCI
Malpractice0.03
0.03 RVUs× 1.000 GPCI
Adjusted RVUs
3.2800
Conversion factor
$33.4009
Medicare rate
$109.55
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Washington, DC area inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
11,791
- Code
- 92524
- Physician work
- 1.92
- Practice expense
- 1.33
- Malpractice
- 0.03
GPCI2026.csv
39
- Locality
- Washington, DC area
- Physician work
- 1.054
- Practice expense
- 1.178
- Malpractice
- 1.113
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.92 | × 1.054 | 2.0237 |
| Practice expense | 1.33 | × 1.178 | 1.5667 |
| Malpractice | 0.03 | × 1.113 | 0.0334 |
| Total RVUs | 3.6238 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Washington, DC area$121.04
Office: (1.92 × 1.054 + 1.33 × 1.178 + 0.03 × 1.113) × $33.4009 = $121.04
Payment rules and modifiers for 92524
The CMS indicators that decide how 92524 is paid alongside other services.
CMS payment indicators · 92524
Voice evaluation, behavioral and perceptual analysis
| 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
92524 without CQ · national office
$109.55
Voice evaluation, behavioral and perceptual analysis
92524-CQ · Allowed amount unchanged
$109.55
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 92524 has changed in Washington, DC area
92524 · Office / nonfacility
$121.04
Effective 2026-10-01
The base rate is $2.22 higher than on 2025-10-01, moving from $118.82 to $121.04 (1.9%).
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
$118.82changed to$121.04
- Conversion factor 32.3465 changed to 33.4009
- Malpractice RVU 0.05 changed to 0.03
- Work GPCI 1.057 changed to 1.054
- Practice expense GPCI 1.192 changed to 1.178
- Malpractice GPCI 1.168 changed to 1.113
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$121.86changed to$118.82
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 1.30 changed to 1.33
- Malpractice RVU 0.07 changed to 0.05
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$119.87changed to$121.86
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$124.29changed to$119.87
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 1.28 changed to 1.30
- Work GPCI 1.056 changed to 1.057
- Practice expense GPCI 1.214 changed to 1.192
- Malpractice GPCI 1.231 changed to 1.168
January 1, 2023
RVU23A
$126.67changed to$124.29
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 1.23 changed to 1.28
- Malpractice RVU 0.09 changed to 0.07
- Work GPCI 1.054 changed to 1.056
- Practice expense GPCI 1.236 changed to 1.214
- Malpractice GPCI 1.294 changed to 1.231
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$126.43changed to$126.67
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 1.20 changed to 1.23
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$103.66changed to$126.43
- Conversion factor 36.0896 changed to 34.8931
- Work RVU 1.50 changed to 1.92
- Practice expense RVU 0.98 changed to 1.20
- Malpractice RVU 0.08 changed to 0.09
- Work GPCI 1.049 changed to 1.054
- Practice expense GPCI 1.221 changed to 1.236
- Malpractice GPCI 1.277 changed to 1.294
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$100.49changed to$103.66
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 0.94 changed to 0.98
- Malpractice RVU 0.07 changed to 0.08
- Work GPCI 1.045 changed to 1.049
- Practice expense GPCI 1.205 changed to 1.221
- Malpractice GPCI 1.261 changed to 1.277
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$99.52changed to$100.49
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 0.92 changed to 0.94
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$100.26changed to$99.52
- Conversion factor 35.8887 changed to 35.9996
- Practice expense RVU 0.94 changed to 0.92
- Work GPCI 1.048 changed to 1.045
- Malpractice GPCI 1.271 changed to 1.261
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$101.07changed to$100.26
- Conversion factor 35.8043 changed to 35.8887
- Practice expense RVU 0.96 changed to 0.94
- Work GPCI 1.051 changed to 1.048
- Malpractice GPCI 1.280 changed to 1.271
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$101.98changed to$101.07
- Conversion factor 35.9335 changed to 35.8043
- Practice expense RVU 0.93 changed to 0.96
- Malpractice RVU 0.11 changed to 0.07
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$101.47changed to$101.98
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$108.10changed to$101.47
- Conversion factor 35.8228 changed to 35.7547
- Practice expense RVU 1.12 changed to 0.93
- Malpractice RVU 0.08 changed to 0.11
- Work GPCI 1.050 changed to 1.051
- Practice expense GPCI 1.202 changed to 1.205
- Malpractice GPCI 1.205 changed to 1.280
Held through RVU15B.
January 1, 2014
RVU14A
No ratechanged to$108.10
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: No rate
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $121.04 | Not available in this setting | RVU26D |
| 2026-07-01 | $121.04 | Not available in this setting | RVU26C |
| 2026-04-01 | $121.04 | Not available in this setting | RVU26B |
| 2026-01-01 | $121.04 | Not available in this setting | RVU26A |
| 2025-10-01 | $118.82 | Not available in this setting | RVU25D |
| 2025-07-01 | $118.82 | Not available in this setting | RVU25C |
| 2025-04-01 | $118.82 | Not available in this setting | RVU25B |
| 2025-01-01 | $118.82 | Not available in this setting | RVU25A |
| 2024-10-01 | $121.86 | Not available in this setting | RVU24D |
| 2024-07-01 | $121.86 | Not available in this setting | RVU24C |
| 2024-04-01 | $121.86 | Not available in this setting | RVU24B |
| 2024-03-09 | $121.86 | Not available in this setting | RVU24AR |
| 2024-01-01 | $119.87 | Not available in this setting | RVU24A |
| 2023-10-01 | $124.29 | Not available in this setting | RVU23D |
| 2023-07-01 | $124.29 | Not available in this setting | RVU23C |
| 2023-04-01 | $124.29 | Not available in this setting | RVU23B |
| 2023-01-01 | $124.29 | Not available in this setting | RVU23A |
| 2022-10-01 | $126.67 | Not available in this setting | RVU22D |
| 2022-07-01 | $126.67 | Not available in this setting | RVU22C |
| 2022-04-01 | $126.67 | Not available in this setting | RVU22B |
| 2022-01-01 | $126.67 | Not available in this setting | RVU22A |
| 2021-10-01 | $126.43 | Not available in this setting | RVU21D |
| 2021-07-01 | $126.43 | Not available in this setting | RVU21C |
| 2021-04-01 | $126.43 | Not available in this setting | RVU21B |
| 2021-01-01 | $126.43 | Not available in this setting | RVU21A |
| 2020-10-01 | $103.66 | Not available in this setting | RVU20D |
| 2020-07-01 | $103.66 | Not available in this setting | RVU20C |
| 2020-04-01 | $103.66 | Not available in this setting | RVU20B |
| 2020-01-01 | $103.66 | Not available in this setting | RVU20A |
| 2019-10-01 | $100.49 | Not available in this setting | RVU19D |
| 2019-07-01 | $100.49 | Not available in this setting | RVU19C |
| 2019-04-01 | $100.49 | Not available in this setting | RVU19B |
| 2019-01-01 | $100.49 | Not available in this setting | RVU19A |
| 2018-10-01 | $99.52 | Not available in this setting | RVU18D |
| 2018-07-01 | $99.52 | Not available in this setting | RVU18C |
| 2018-04-01 | $99.52 | Not available in this setting | RVU18B |
| 2018-01-01 | $99.52 | Not available in this setting | RVU18AR1 |
| 2017-10-01 | $100.26 | Not available in this setting | RVU17D |
| 2017-07-01 | $100.26 | Not available in this setting | RVU17C |
| 2017-04-01 | $100.26 | Not available in this setting | RVU17B |
| 2017-01-01 | $100.26 | Not available in this setting | RVU17A |
| 2016-10-01 | $101.07 | Not available in this setting | RVU16D |
| 2016-07-01 | $101.07 | Not available in this setting | RVU16C |
| 2016-04-01 | $101.07 | Not available in this setting | RVU16B |
| 2016-01-01 | $101.07 | Not available in this setting | RVU16A |
| 2015-10-01 | $101.98 | Not available in this setting | RVU15D |
| 2015-07-01 | $101.98 | Not available in this setting | RVU15C |
| 2015-04-01 | $101.47 | Not available in this setting | RVU15B |
| 2015-01-01 | $101.47 | Not available in this setting | RVU15A |
| 2014-10-01 | $108.10 | Not available in this setting | RVU14D |
| 2014-07-01 | $108.10 | Not available in this setting | RVU14C |
| 2014-04-01 | $108.10 | Not available in this setting | RVU14B |
| 2014-01-01 | $108.10 | Not available in this setting | RVU14A |
| 2013-10-01 | Not in this release | Not in this release | RVU13D |
| 2013-07-01 | Not in this release | Not in this release | RVU13C |
| 2013-04-01 | Not in this release | Not in this release | RVU13B |
| 2013-01-01 | Not in this release | Not in this release | RVU13AR |
Where the Washington, DC area rate applies
Washington, DC area is a Medicare payment area, not a city. Our Census mapping connects it to 1 cities and communities in District of Columbia. Some span more than one payment area; confirm with the service ZIP.
- Washington
92524 billing questions
When should this code be chosen instead of 92520?
Use 92524 for perceptual assessment of voice and resonance. Code 92520 is for laryngeal function studies, such as physiologic or acoustic testing.
Is this code for voice treatment?
No. It represents an evaluation of voice and resonance. Voice exercises or other individual speech-language treatment are reported separately when performed and supported.
Should modifier 26 be appended?
No. CMS identifies this as a therapy service for which the professional-component modifier does not apply.
How should units be reported?
Report the voice evaluation as a service, not by the number of voice qualities, listening tasks, or samples assessed. CMS reduces practice expense for the second and later therapy units furnished on the same day.
What documentation supports reporting this code?
Document the voice or resonance concern, the perceptual assessment performed, the findings, and how those findings inform the clinical plan.
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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