CPT code 92549: Dynamic posturography, SOT with MCT and ADT2026 Medicare rate & RVUs in Salinas, CA
Reports computerized balance testing that combines six sensory organization conditions with motor control and adaptation tests during vestibular evaluation.
In Salinas, CA, Medicare pays $68.34 for 92549 in the office.
Check a contract rate as a % of Medicare · 92549 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 92549 covers
This computerized balance assessment evaluates how a patient maintains posture when visual, somatosensory, and support-surface cues are varied. The sensory organization test uses six conditions; the motor control test assesses responses to platform translations, and the adaptation test assesses responses to platform rotations. Audiologists and other vestibular clinicians typically perform the testing in an audiology or vestibular clinic, with a practitioner interpreting the results and preparing a report. It can help characterize balance impairment in patients with dizziness, unsteadiness, or suspected vestibular dysfunction.
Report 92549 for the combined testing, rather than for the six-condition sensory organization portion alone. Documentation should identify the testing performed and include findings and interpretation supporting the balance assessment. CMS recognizes professional and technical components: modifier 26 identifies the interpretation, modifier TC identifies the equipment and staff portion, and no component modifier represents the global service. The reported component should match the work and resources furnished by the billing entity.
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 Salinas, CA compares for 92549
Across 109 of 109 payment localities, the office rate for 92549 runs from $57.43 in Arkansas to $80.04 in San Benito County, CA. Salinas, CA pays $68.34. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Salinas, CA · this page$68.34
- Bakersfield, CA · California$65.94−$2.40
- Chico, CA · California$65.84−$2.50
- El Centro, CA · California$65.84−$2.50
- Fresno, CA · California$65.84−$2.50
- Hanford, CA · California$65.84−$2.50
- Los Angeles, CA · California$69.51+$1.17
Other areas in California first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| Madera, CACalifornia | $65.84 | — |
| Merced, CACalifornia | $65.84 | — |
| Modesto, CACalifornia | $65.84 | — |
| Napa, CACalifornia | $74.54 | — |
| Oxnard, CACalifornia | $69.08 | — |
| Redding, CACalifornia | $65.84 | — |
| Rest of CaliforniaCalifornia | $65.84 | — |
| Riverside, CACalifornia | $66.08 | — |
| Sacramento, CACalifornia | $68.62 | — |
| San Diego, CACalifornia | $69.55 | — |
| Marin County, CACalifornia | $78.49 | — |
| San Francisco, CACalifornia | $78.47 | — |
| San Benito County, CACalifornia | $80.04 | — |
| Santa Clara County, CACalifornia | $79.94 | — |
| San Luis Obispo, CACalifornia | $67.28 | — |
| Santa Cruz, CACalifornia | $69.93 | — |
| Santa Maria, CACalifornia | $68.49 | — |
| Santa Rosa, CACalifornia | $70.62 | — |
| Stockton, CACalifornia | $65.84 | — |
| Vallejo, CACalifornia | $74.51 | — |
| Visalia, CACalifornia | $65.84 | — |
| Yuba City, CACalifornia | $65.84 | — |
| Washington, DC areaDistrict of Columbia | $70.01 | — |
| Miami, FLFlorida | $64.85 | — |
| Chicago, ILIllinois | $63.69 | — |
| Manhattan, NYNew York | $70.08 | — |
| AlaskaAlaska | $78.53 | — |
| AlabamaAlabama | $57.99 | — |
| ArkansasArkansas | $57.43 | — |
| ArizonaArizona | $61.33 | — |
| ColoradoColorado | $64.79 | — |
| ConnecticutConnecticut | $65.74 | — |
| DelawareDelaware | $62.13 | — |
| Fort Lauderdale, FLFlorida | $63.43 | — |
| Rest of FloridaFlorida | $61.33 | — |
| Atlanta, GAGeorgia | $63.21 | — |
| Rest of GeorgiaGeorgia | $58.98 | — |
| Hawaii, Guam, HIHawaii | $66.75 | — |
| IowaIowa | $59.22 | — |
| IdahoIdaho | $59.44 | — |
| East St. Louis, ILIllinois | $60.46 | — |
| Rest of IllinoisIllinois | $59.93 | — |
| Suburban Chicago, ILIllinois | $64.08 | — |
| IndianaIndiana | $59.68 | — |
| KansasKansas | $58.92 | — |
| KentuckyKentucky | $58.70 | — |
| New Orleans, LALouisiana | $60.58 | — |
| Rest of LouisianaLouisiana | $58.59 | — |
| Metropolitan Boston, MAMassachusetts | $70.03 | — |
| Rest of MassachusettsMassachusetts | $64.55 | — |
| Baltimore area, MDMaryland | $65.51 | — |
| Rest of MarylandMaryland | $63.09 | — |
| Rest of MaineMaine | $59.54 | — |
| Southern Maine, MEMaine | $61.91 | — |
| Detroit, MIMichigan | $61.75 | — |
| Rest of MichiganMichigan | $59.64 | — |
| MinnesotaMinnesota | $62.96 | — |
| Metropolitan Kansas City, MOMissouri | $60.41 | — |
| Metropolitan St. Louis, MOMissouri | $60.86 | — |
| Rest of MissouriMissouri | $57.83 | — |
| MississippiMississippi | $57.64 | — |
| MontanaMontana | $62.46 | — |
| North CarolinaNorth Carolina | $59.98 | — |
| North DakotaNorth Dakota | $62.06 | — |
| NebraskaNebraska | $59.47 | — |
| New HampshireNew Hampshire | $63.75 | — |
| Northern New JerseyNew Jersey | $69.64 | — |
| Rest of New JerseyNew Jersey | $66.73 | — |
| New MexicoNew Mexico | $59.82 | — |
| NevadaNevada | $62.38 | — |
| NYC suburbs and Long Island, NYNew York | $71.16 | — |
| Poughkeepsie and northern NYC suburbs, NYNew York | $67.05 | — |
| Queens, NYNew York | $70.65 | — |
| Rest of New YorkNew York | $60.59 | — |
| OhioOhio | $59.56 | — |
| OklahomaOklahoma | $58.74 | — |
| Portland, OROregon | $66.45 | — |
| Rest of OregonOregon | $62.13 | — |
| Metropolitan Philadelphia, PAPennsylvania | $64.47 | — |
| Rest of PennsylvaniaPennsylvania | $59.68 | — |
| Puerto RicoPuerto Rico | $62.82 | — |
| Rhode IslandRhode Island | $64.03 | — |
| South CarolinaSouth Carolina | $59.82 | — |
| South DakotaSouth Dakota | $62.02 | — |
| TennesseeTennessee | $59.11 | — |
| Austin, TXTexas | $64.38 | — |
| Beaumont, TXTexas | $59.41 | — |
| Brazoria, TXTexas | $62.24 | — |
| Dallas, TXTexas | $62.49 | — |
| Fort Worth, TXTexas | $62.16 | — |
| Galveston, TXTexas | $62.34 | — |
| Houston, TXTexas | $62.70 | — |
| Rest of TexasTexas | $60.69 | — |
| UtahUtah | $60.39 | — |
| VirginiaVirginia | $61.70 | — |
| Virgin Islands, VIUnited States Virgin Islands | $62.82 | — |
| VermontVermont | $61.80 | — |
| Rest of WashingtonWashington | $64.44 | — |
| King County, WAWashington | $71.34 | — |
| WisconsinWisconsin | $60.59 | — |
| West VirginiaWest Virginia | $58.37 | — |
| WyomingWyoming | $62.29 | — |
92549 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.
$57.43
$78.53
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 | $78.53 | 1 |
| AL | $57.99 | 1 |
| AR | $57.43 | 1 |
| AZ | $61.33 | 1 |
| CA | $65.84–$80.04 | 29 |
| CO | $64.79 | 1 |
| CT | $65.74 | 1 |
| DC | $70.01 | 1 |
| DE | $62.13 | 1 |
| FL | $61.33–$64.85 | 3 |
| GA | $58.98–$63.21 | 2 |
| GU | $66.75 | 1 |
| HI | $66.75 | 1 |
| IA | $59.22 | 1 |
| ID | $59.44 | 1 |
| IL | $59.93–$64.08 | 4 |
| IN | $59.68 | 1 |
| KS | $58.92 | 1 |
| KY | $58.70 | 1 |
| LA | $58.59–$60.58 | 2 |
| MA | $64.55–$70.03 | 2 |
| MD | $63.09–$70.01 | 3 |
| ME | $59.54–$61.91 | 2 |
| MI | $59.64–$61.75 | 2 |
| MN | $62.96 | 1 |
| MO | $57.83–$60.86 | 3 |
| MS | $57.64 | 1 |
| MT | $62.46 | 1 |
| NC | $59.98 | 1 |
| ND | $62.06 | 1 |
| NE | $59.47 | 1 |
| NH | $63.75 | 1 |
| NJ | $66.73–$69.64 | 2 |
| NM | $59.82 | 1 |
| NV | $62.38 | 1 |
| NY | $60.59–$71.16 | 5 |
| OH | $59.56 | 1 |
| OK | $58.74 | 1 |
| OR | $62.13–$66.45 | 2 |
| PA | $59.68–$64.47 | 2 |
| PR | $62.82 | 1 |
| RI | $64.03 | 1 |
| SC | $59.82 | 1 |
| SD | $62.02 | 1 |
| TN | $59.11 | 1 |
| TX | $59.41–$64.38 | 8 |
| UT | $60.39 | 1 |
| VA | $61.70–$70.01 | 2 |
| VI | $62.82 | 1 |
| VT | $61.80 | 1 |
| WA | $64.44–$71.34 | 2 |
| WI | $60.59 | 1 |
| WV | $58.37 | 1 |
| WY | $62.29 | 1 |
How the 92549 rate is calculated
Each of 92549’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 · 92549
RVUs × geographic indexes × conversion factor
Work0.85
0.85 RVUs× 1.000 GPCI
Practice expense1.00
1.00 RVUs× 1.000 GPCI
Malpractice0.02
0.02 RVUs× 1.000 GPCI
Adjusted RVUs
1.8700
Conversion factor
$33.4009
Medicare rate
$62.46
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Salinas, CA inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
11,825
- Code
- 92549
- Physician work
- 0.85
- Practice expense
- 1.00
- Malpractice
- 0.02
GPCI2026.csv
22
- Locality
- Salinas, CA
- Physician work
- 1.031
- Practice expense
- 1.159
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.85 | × 1.031 | 0.8763 |
| Practice expense | 1.00 | × 1.159 | 1.1590 |
| Malpractice | 0.02 | × 0.536 | 0.0107 |
| Total RVUs | 2.0461 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Salinas, CA$68.34
Office: (0.85 × 1.031 + 1 × 1.159 + 0.02 × 0.536) × $33.4009 = $68.34
Payment rules and modifiers for 92549
The CMS indicators that decide how 92549 is paid alongside other services.
CMS payment indicators · 92549
Dynamic posturography, SOT with MCT and ADT
| Rule | CMS value | What it means |
|---|---|---|
| Global period | XXX | The global surgery concept doesn’t apply. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| 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 | 1 | Diagnostic test with separate professional (26) and technical (TC) components. |
What modifiers do to the payment
Modifier 26 · payment effect
With and without the modifier
92549 without 26 · national office
$62.46
Dynamic posturography, SOT with MCT and ADT
92549-26 · Professional component
$43.09
Pays only the interpretation and report.
How 92549 has changed in Salinas, CA
92549 · Office / nonfacility
$68.34
Effective 2026-10-01
The base rate is $0.72 lower than on 2025-10-01, moving from $69.06 to $68.34 (1.0%).
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
$69.06changed to$68.34
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 0.87 changed to 0.85
- Practice expense RVU 1.05 changed to 1.00
- Work GPCI 1.035 changed to 1.031
- Practice expense GPCI 1.165 changed to 1.159
- Malpractice GPCI 0.560 changed to 0.536
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$70.68changed to$69.06
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 1.04 changed to 1.05
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$69.52changed to$70.68
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$71.84changed to$69.52
- Conversion factor 33.8872 changed to 32.7442
- Work GPCI 1.050 changed to 1.035
- Practice expense GPCI 1.149 changed to 1.165
- Malpractice GPCI 0.579 changed to 0.560
January 1, 2023
RVU23A
$71.26changed to$71.84
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 0.99 changed to 1.04
- Work GPCI 1.064 changed to 1.050
- Practice expense GPCI 1.133 changed to 1.149
- Malpractice GPCI 0.597 changed to 0.579
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$69.96changed to$71.26
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 0.94 changed to 0.99
- Malpractice RVU 0.05 changed to 0.02
- Work GPCI 1.058 changed to 1.064
- Practice expense GPCI 1.122 changed to 1.133
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$69.75changed to$69.96
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 0.90 changed to 0.94
- Malpractice RVU 0.03 changed to 0.05
- Work GPCI 1.051 changed to 1.058
- Practice expense GPCI 1.112 changed to 1.122
- Malpractice GPCI 0.580 changed to 0.597
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
No ratechanged to$69.75
Held through RVU20B, RVU20C, RVU20D.
January 1, 2013
RVU13AR
Earliest loaded release: No rate
Held through RVU13B, RVU13C, RVU13D, RVU14A, RVU14B, RVU14C, RVU14D, RVU15A, RVU15B, RVU15C, RVU15D, RVU16A, RVU16B, RVU16C, RVU16D, RVU17A, RVU17B, RVU17C, RVU17D, RVU18AR1, RVU18B, RVU18C, RVU18D, RVU19A, RVU19B, RVU19C, RVU19D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $68.34 | Not available in this setting | RVU26D |
| 2026-07-01 | $68.34 | Not available in this setting | RVU26C |
| 2026-04-01 | $68.34 | Not available in this setting | RVU26B |
| 2026-01-01 | $68.34 | Not available in this setting | RVU26A |
| 2025-10-01 | $69.06 | Not available in this setting | RVU25D |
| 2025-07-01 | $69.06 | Not available in this setting | RVU25C |
| 2025-04-01 | $69.06 | Not available in this setting | RVU25B |
| 2025-01-01 | $69.06 | Not available in this setting | RVU25A |
| 2024-10-01 | $70.68 | Not available in this setting | RVU24D |
| 2024-07-01 | $70.68 | Not available in this setting | RVU24C |
| 2024-04-01 | $70.68 | Not available in this setting | RVU24B |
| 2024-03-09 | $70.68 | Not available in this setting | RVU24AR |
| 2024-01-01 | $69.52 | Not available in this setting | RVU24A |
| 2023-10-01 | $71.84 | Not available in this setting | RVU23D |
| 2023-07-01 | $71.84 | Not available in this setting | RVU23C |
| 2023-04-01 | $71.84 | Not available in this setting | RVU23B |
| 2023-01-01 | $71.84 | Not available in this setting | RVU23A |
| 2022-10-01 | $71.26 | Not available in this setting | RVU22D |
| 2022-07-01 | $71.26 | Not available in this setting | RVU22C |
| 2022-04-01 | $71.26 | Not available in this setting | RVU22B |
| 2022-01-01 | $71.26 | Not available in this setting | RVU22A |
| 2021-10-01 | $69.96 | Not available in this setting | RVU21D |
| 2021-07-01 | $69.96 | Not available in this setting | RVU21C |
| 2021-04-01 | $69.96 | Not available in this setting | RVU21B |
| 2021-01-01 | $69.96 | Not available in this setting | RVU21A |
| 2020-10-01 | $69.75 | Not available in this setting | RVU20D |
| 2020-07-01 | $69.75 | Not available in this setting | RVU20C |
| 2020-04-01 | $69.75 | Not available in this setting | RVU20B |
| 2020-01-01 | $69.75 | Not available in this setting | RVU20A |
| 2019-10-01 | Not in this release | Not in this release | RVU19D |
| 2019-07-01 | Not in this release | Not in this release | RVU19C |
| 2019-04-01 | Not in this release | Not in this release | RVU19B |
| 2019-01-01 | Not in this release | Not in this release | RVU19A |
| 2018-10-01 | Not in this release | Not in this release | RVU18D |
| 2018-07-01 | Not in this release | Not in this release | RVU18C |
| 2018-04-01 | Not in this release | Not in this release | RVU18B |
| 2018-01-01 | Not in this release | Not in this release | RVU18AR1 |
| 2017-10-01 | Not in this release | Not in this release | RVU17D |
| 2017-07-01 | Not in this release | Not in this release | RVU17C |
| 2017-04-01 | Not in this release | Not in this release | RVU17B |
| 2017-01-01 | Not in this release | Not in this release | RVU17A |
| 2016-10-01 | Not in this release | Not in this release | RVU16D |
| 2016-07-01 | Not in this release | Not in this release | RVU16C |
| 2016-04-01 | Not in this release | Not in this release | RVU16B |
| 2016-01-01 | Not in this release | Not in this release | RVU16A |
| 2015-10-01 | Not in this release | Not in this release | RVU15D |
| 2015-07-01 | Not in this release | Not in this release | RVU15C |
| 2015-04-01 | Not in this release | Not in this release | RVU15B |
| 2015-01-01 | Not in this release | Not in this release | RVU15A |
| 2014-10-01 | Not in this release | Not in this release | RVU14D |
| 2014-07-01 | Not in this release | Not in this release | RVU14C |
| 2014-04-01 | Not in this release | Not in this release | RVU14B |
| 2014-01-01 | Not in this release | Not in this release | 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 Salinas, CA rate applies
Salinas, CA is a Medicare payment area, not a city. Our Census mapping connects it to 30 cities and communities in California. Some span more than one payment area; confirm with the service ZIP.
- Salinas
- 92549 in Aromas · multiple payment areas
- Boronda
- Bradley
- Carmel Valley Village
- Carmel-by-the-Sea
- Castroville
- Chualar
92549 billing questions
When should 92549 be chosen instead of 92548?
Use 92549 when the six-condition sensory organization testing is performed with both motor control and adaptation testing. Use 92548 when the service includes the six-condition sensory organization test without those additional tests.
Can the professional and technical portions be billed separately?
Yes. Modifier 26 identifies the interpretation, while modifier TC identifies the equipment and staff portion. Without either modifier, the claim represents the global service.
What documentation supports reporting 92549?
Document the sensory organization, motor control, and adaptation testing performed, along with the results and interpretation. The record should support that the reported service included all three components.
Is 92549 reported per test condition or per component?
The code represents the combined service, including the six sensory organization conditions and the motor control and adaptation tests. Do not treat each condition or included test as a separate unit of 92549.
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 · Coming soon
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