CPT code 92555: Speech audiometry, threshold only2026 Medicare rate & RVUs in Alabama
Reports speech-threshold testing that measures the softest level at which a patient can recognize spoken test words in each ear.
In Alabama, Medicare pays $25.91 for 92555 in the office.
Check a contract rate as a % of Medicare · 92555 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 92555 covers
An audiologist typically presents speech materials, often spondee words, at varying loudness levels to determine the patient’s speech reception threshold. The test helps characterize hearing and compare speech responses with pure-tone findings. It is performed in outpatient audiology and otolaryngology settings, generally as part of a diagnostic hearing evaluation.
Select this code when the service measures speech threshold without the additional speech-recognition testing represented by broader speech-audiometry services. Document the test performed and the resulting threshold for each ear. CMS identifies this as a technical-component-only code; a separate code represents interpretation when furnished and supported. The code is priced as bilateral, so modifier 50 does not increase payment. Choose a comprehensive audiometry code when the encounter includes the broader set of measures described by that code rather than reporting this threshold test as though it covered them.
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 Alabama compares for 92555
Across 109 of 109 payment localities, the office rate for 92555 runs from $25.42 in Arkansas to $42.56 in San Benito County, CA. Alabama pays $25.91. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Alabama · this page$25.91
- Los Angeles, CA · California$34.99+$9.08
- Washington, DC area · District of Columbia$35.00+$9.09
- Miami, FL · Florida$31.44+$5.53
- Chicago, IL · Illinois$30.31+$4.40
- Manhattan, NY · New York$34.68+$8.77
- Alaska · Alaska$31.49+$5.58
Other areas in Alabama first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| ArkansasArkansas | $25.42 | — |
| ArizonaArizona | $28.77 | — |
| Bakersfield, CACalifornia | $32.42 | — |
| Chico, CACalifornia | $32.39 | — |
| El Centro, CACalifornia | $32.40 | — |
| Fresno, CACalifornia | $32.39 | — |
| Hanford, CACalifornia | $32.39 | — |
| Madera, CACalifornia | $32.39 | — |
| Merced, CACalifornia | $32.39 | — |
| Modesto, CACalifornia | $32.39 | — |
| Napa, CACalifornia | $38.91 | — |
| Oxnard, CACalifornia | $34.95 | — |
| Redding, CACalifornia | $32.39 | — |
| Rest of CaliforniaCalifornia | $32.39 | — |
| Riverside, CACalifornia | $32.50 | — |
| Sacramento, CACalifornia | $34.36 | — |
| Salinas, CACalifornia | $34.25 | — |
| San Diego, CACalifornia | $35.33 | — |
| Marin County, CACalifornia | $41.60 | — |
| San Francisco, CACalifornia | $41.59 | — |
| San Benito County, CACalifornia | $42.56 | — |
| Santa Clara County, CACalifornia | $42.52 | — |
| San Luis Obispo, CACalifornia | $33.66 | — |
| Santa Cruz, CACalifornia | $35.89 | — |
| Santa Maria, CACalifornia | $34.45 | — |
| Santa Rosa, CACalifornia | $36.27 | — |
| Stockton, CACalifornia | $32.39 | — |
| Vallejo, CACalifornia | $38.89 | — |
| Visalia, CACalifornia | $32.39 | — |
| Yuba City, CACalifornia | $32.39 | — |
| ColoradoColorado | $31.53 | — |
| ConnecticutConnecticut | $32.06 | — |
| DelawareDelaware | $29.34 | — |
| Fort Lauderdale, FLFlorida | $30.38 | — |
| Rest of FloridaFlorida | $28.60 | — |
| Atlanta, GAGeorgia | $30.26 | — |
| Rest of GeorgiaGeorgia | $26.62 | — |
| Hawaii, Guam, HIHawaii | $33.61 | — |
| IowaIowa | $27.03 | — |
| IdahoIdaho | $27.20 | — |
| East St. Louis, ILIllinois | $27.71 | — |
| Rest of IllinoisIllinois | $27.36 | — |
| Suburban Chicago, ILIllinois | $30.78 | — |
| IndianaIndiana | $27.41 | — |
| KansasKansas | $26.74 | — |
| KentuckyKentucky | $26.44 | — |
| New Orleans, LALouisiana | $28.04 | — |
| Rest of LouisianaLouisiana | $26.33 | — |
| Metropolitan Boston, MAMassachusetts | $35.39 | — |
| Rest of MassachusettsMassachusetts | $31.22 | — |
| Baltimore area, MDMaryland | $31.95 | — |
| Rest of MarylandMaryland | $30.05 | — |
| Rest of MaineMaine | $27.25 | — |
| Southern Maine, MEMaine | $29.34 | — |
| Detroit, MIMichigan | $28.93 | — |
| Rest of MichiganMichigan | $27.21 | — |
| MinnesotaMinnesota | $30.34 | — |
| Metropolitan Kansas City, MOMissouri | $27.93 | — |
| Metropolitan St. Louis, MOMissouri | $28.32 | — |
| Rest of MissouriMissouri | $25.66 | — |
| MississippiMississippi | $25.55 | — |
| MontanaMontana | $29.73 | — |
| North CarolinaNorth Carolina | $27.64 | — |
| North DakotaNorth Dakota | $29.53 | — |
| NebraskaNebraska | $27.26 | — |
| New HampshireNew Hampshire | $30.89 | — |
| Northern New JerseyNew Jersey | $34.45 | — |
| Rest of New JerseyNew Jersey | $32.46 | — |
| New MexicoNew Mexico | $27.35 | — |
| NevadaNevada | $29.70 | — |
| NYC suburbs and Long Island, NYNew York | $35.57 | — |
| Poughkeepsie and northern NYC suburbs, NYNew York | $32.59 | — |
| Queens, NYNew York | $35.22 | — |
| Rest of New YorkNew York | $28.16 | — |
| OhioOhio | $27.17 | — |
| OklahomaOklahoma | $26.51 | — |
| Portland, OROregon | $32.90 | — |
| Rest of OregonOregon | $29.51 | — |
| Metropolitan Philadelphia, PAPennsylvania | $31.00 | — |
| Rest of PennsylvaniaPennsylvania | $27.30 | — |
| Puerto RicoPuerto Rico | $30.05 | — |
| Rhode IslandRhode Island | $30.66 | — |
| South CarolinaSouth Carolina | $27.44 | — |
| South DakotaSouth Dakota | $29.51 | — |
| TennesseeTennessee | $26.90 | — |
| Austin, TXTexas | $31.39 | — |
| Beaumont, TXTexas | $27.06 | — |
| Brazoria, TXTexas | $29.39 | — |
| Dallas, TXTexas | $29.56 | — |
| Fort Worth, TXTexas | $29.27 | — |
| Galveston, TXTexas | $29.46 | — |
| Houston, TXTexas | $29.65 | — |
| Rest of TexasTexas | $28.20 | — |
| UtahUtah | $27.93 | — |
| VirginiaVirginia | $29.13 | — |
| Virgin Islands, VIUnited States Virgin Islands | $30.05 | — |
| VermontVermont | $29.27 | — |
| Rest of WashingtonWashington | $31.20 | — |
| King County, WAWashington | $36.34 | — |
| WisconsinWisconsin | $28.26 | — |
| West VirginiaWest Virginia | $26.02 | — |
| WyomingWyoming | $29.64 | — |
92555 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.
$25.42
$37.48
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 | $31.49 | 1 |
| AL | $25.91 | 1 |
| AR | $25.42 | 1 |
| AZ | $28.77 | 1 |
| CA | $32.39–$42.56 | 29 |
| CO | $31.53 | 1 |
| CT | $32.06 | 1 |
| DC | $35.00 | 1 |
| DE | $29.34 | 1 |
| FL | $28.60–$31.44 | 3 |
| GA | $26.62–$30.26 | 2 |
| GU | $33.61 | 1 |
| HI | $33.61 | 1 |
| IA | $27.03 | 1 |
| ID | $27.20 | 1 |
| IL | $27.36–$30.78 | 4 |
| IN | $27.41 | 1 |
| KS | $26.74 | 1 |
| KY | $26.44 | 1 |
| LA | $26.33–$28.04 | 2 |
| MA | $31.22–$35.39 | 2 |
| MD | $30.05–$35.00 | 3 |
| ME | $27.25–$29.34 | 2 |
| MI | $27.21–$28.93 | 2 |
| MN | $30.34 | 1 |
| MO | $25.66–$28.32 | 3 |
| MS | $25.55 | 1 |
| MT | $29.73 | 1 |
| NC | $27.64 | 1 |
| ND | $29.53 | 1 |
| NE | $27.26 | 1 |
| NH | $30.89 | 1 |
| NJ | $32.46–$34.45 | 2 |
| NM | $27.35 | 1 |
| NV | $29.70 | 1 |
| NY | $28.16–$35.57 | 5 |
| OH | $27.17 | 1 |
| OK | $26.51 | 1 |
| OR | $29.51–$32.90 | 2 |
| PA | $27.30–$31.00 | 2 |
| PR | $30.05 | 1 |
| RI | $30.66 | 1 |
| SC | $27.44 | 1 |
| SD | $29.51 | 1 |
| TN | $26.90 | 1 |
| TX | $27.06–$31.39 | 8 |
| UT | $27.93 | 1 |
| VA | $29.13–$35.00 | 2 |
| VI | $30.05 | 1 |
| VT | $29.27 | 1 |
| WA | $31.20–$36.34 | 2 |
| WI | $28.26 | 1 |
| WV | $26.02 | 1 |
| WY | $29.64 | 1 |
How the 92555 rate is calculated
Each of 92555’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 · 92555
RVUs × geographic indexes × conversion factor
Work0.00
0.00 RVUs× 1.000 GPCI
Practice expense0.88
0.88 RVUs× 1.000 GPCI
Malpractice0.01
0.01 RVUs× 1.000 GPCI
Adjusted RVUs
0.8900
Conversion factor
$33.4009
Medicare rate
$29.73
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Alabama inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
11,832
- Code
- 92555
- Physician work
- 0.00
- Practice expense
- 0.88
- Malpractice
- 0.01
GPCI2026.csv
4
- Locality
- Alabama
- Physician work
- 1.000
- Practice expense
- 0.875
- Malpractice
- 0.566
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.00 | × 1.000 | 0.0000 |
| Practice expense | 0.88 | × 0.875 | 0.7700 |
| Malpractice | 0.01 | × 0.566 | 0.0057 |
| Total RVUs | 0.7757 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Alabama$25.91
Office: (0 × 1 + 0.88 × 0.875 + 0.01 × 0.566) × $33.4009 = $25.91
Payment rules and modifiers for 92555
The CMS indicators that decide how 92555 is paid alongside other services.
CMS payment indicators · 92555
Speech audiometry, threshold only
| 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) | 2 | Already bilateral by definition: paid once at 100%. |
| 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 | 3 | Technical component only. |
How 92555 has changed in Alabama
92555 · Office / nonfacility
$25.91
Effective 2026-10-01
The base rate is $0.43 higher than on 2025-10-01, moving from $25.48 to $25.91 (1.7%).
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
$25.48changed to$25.91
- Conversion factor 32.3465 changed to 33.4009
- Practice expense RVU 0.90 changed to 0.88
- Practice expense GPCI 0.869 changed to 0.875
- Malpractice GPCI 0.575 changed to 0.566
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$25.07changed to$25.48
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 0.86 changed to 0.90
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$24.66changed to$25.07
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$24.35changed to$24.66
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 0.81 changed to 0.86
- Practice expense GPCI 0.878 changed to 0.869
- Malpractice GPCI 0.748 changed to 0.575
January 1, 2023
RVU23A
$23.06changed to$24.35
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 0.74 changed to 0.81
- Practice expense GPCI 0.888 changed to 0.878
- Malpractice GPCI 0.921 changed to 0.748
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$22.32changed to$23.06
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 0.71 changed to 0.74
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$21.43changed to$22.32
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 0.66 changed to 0.71
- Practice expense GPCI 0.889 changed to 0.888
- Malpractice GPCI 0.707 changed to 0.921
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$21.67changed to$21.43
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 0.67 changed to 0.66
- Practice expense GPCI 0.890 changed to 0.889
- Malpractice GPCI 0.492 changed to 0.707
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$21.64changed to$21.67
- Conversion factor 35.9996 changed to 36.0391
Held through RVU19B, RVU19C, RVU19D.
April 1, 2018
RVU18B
No ratechanged to$21.64
Held through RVU18C, RVU18D.
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.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $25.91 | Not available in this setting | RVU26D |
| 2026-07-01 | $25.91 | Not available in this setting | RVU26C |
| 2026-04-01 | $25.91 | Not available in this setting | RVU26B |
| 2026-01-01 | $25.91 | Not available in this setting | RVU26A |
| 2025-10-01 | $25.48 | Not available in this setting | RVU25D |
| 2025-07-01 | $25.48 | Not available in this setting | RVU25C |
| 2025-04-01 | $25.48 | Not available in this setting | RVU25B |
| 2025-01-01 | $25.48 | Not available in this setting | RVU25A |
| 2024-10-01 | $25.07 | Not available in this setting | RVU24D |
| 2024-07-01 | $25.07 | Not available in this setting | RVU24C |
| 2024-04-01 | $25.07 | Not available in this setting | RVU24B |
| 2024-03-09 | $25.07 | Not available in this setting | RVU24AR |
| 2024-01-01 | $24.66 | Not available in this setting | RVU24A |
| 2023-10-01 | $24.35 | Not available in this setting | RVU23D |
| 2023-07-01 | $24.35 | Not available in this setting | RVU23C |
| 2023-04-01 | $24.35 | Not available in this setting | RVU23B |
| 2023-01-01 | $24.35 | Not available in this setting | RVU23A |
| 2022-10-01 | $23.06 | Not available in this setting | RVU22D |
| 2022-07-01 | $23.06 | Not available in this setting | RVU22C |
| 2022-04-01 | $23.06 | Not available in this setting | RVU22B |
| 2022-01-01 | $23.06 | Not available in this setting | RVU22A |
| 2021-10-01 | $22.32 | Not available in this setting | RVU21D |
| 2021-07-01 | $22.32 | Not available in this setting | RVU21C |
| 2021-04-01 | $22.32 | Not available in this setting | RVU21B |
| 2021-01-01 | $22.32 | Not available in this setting | RVU21A |
| 2020-10-01 | $21.43 | Not available in this setting | RVU20D |
| 2020-07-01 | $21.43 | Not available in this setting | RVU20C |
| 2020-04-01 | $21.43 | Not available in this setting | RVU20B |
| 2020-01-01 | $21.43 | Not available in this setting | RVU20A |
| 2019-10-01 | $21.67 | Not available in this setting | RVU19D |
| 2019-07-01 | $21.67 | Not available in this setting | RVU19C |
| 2019-04-01 | $21.67 | Not available in this setting | RVU19B |
| 2019-01-01 | $21.67 | Not available in this setting | RVU19A |
| 2018-10-01 | $21.64 | Not available in this setting | RVU18D |
| 2018-07-01 | $21.64 | Not available in this setting | RVU18C |
| 2018-04-01 | $21.64 | Not available in this setting | RVU18B |
| 2018-01-01 | Rate data unavailable | Not available in this setting | RVU18AR1 |
| 2017-10-01 | Rate data unavailable | Not available in this setting | RVU17D |
| 2017-07-01 | Rate data unavailable | Not available in this setting | RVU17C |
| 2017-04-01 | Rate data unavailable | Not available in this setting | RVU17B |
| 2017-01-01 | Rate data unavailable | Not available in this setting | RVU17A |
| 2016-10-01 | Rate data unavailable | Not available in this setting | RVU16D |
| 2016-07-01 | Rate data unavailable | Not available in this setting | RVU16C |
| 2016-04-01 | Rate data unavailable | Not available in this setting | RVU16B |
| 2016-01-01 | Rate data unavailable | Not available in this setting | RVU16A |
| 2015-10-01 | Rate data unavailable | Not available in this setting | RVU15D |
| 2015-07-01 | Rate data unavailable | Not available in this setting | RVU15C |
| 2015-04-01 | Rate data unavailable | Not available in this setting | RVU15B |
| 2015-01-01 | Rate data unavailable | Not available in this setting | RVU15A |
| 2014-10-01 | Rate data unavailable | Not available in this setting | RVU14D |
| 2014-07-01 | Rate data unavailable | Not available in this setting | RVU14C |
| 2014-04-01 | Rate data unavailable | Not available in this setting | RVU14B |
| 2014-01-01 | Rate data unavailable | Not available in this setting | RVU14A |
| 2013-10-01 | Rate data unavailable | Not available in this setting | RVU13D |
| 2013-07-01 | Rate data unavailable | Not available in this setting | RVU13C |
| 2013-04-01 | Rate data unavailable | Not available in this setting | RVU13B |
| 2013-01-01 | Rate data unavailable | Not available in this setting | RVU13AR |
Where the Alabama rate applies
Alabama is a Medicare payment area, not a city. Our Census mapping connects it to 595 cities and communities in Alabama. Some span more than one payment area; confirm with the service ZIP.
- Abanda
- Abbeville
- Adamsville
- Addison
- Akron
- Alabaster
- Albertville
- Alexander City
92555 billing questions
When should 92555 be used instead of 92556?
Use 92555 for speech-threshold measurement alone. Use 92556 when speech-recognition testing is also performed.
Does 92555 include interpretation?
No. CMS identifies 92555 as technical-component-only; a separate code represents interpretation when it is furnished and documented.
Should modifier 50 be appended for testing both ears?
The code is already priced as bilateral, and modifier 50 does not increase payment.
How does 92555 differ from 92557?
92555 reports speech-threshold testing alone. 92557 represents a comprehensive audiometry evaluation that includes pure-tone thresholds and speech measures.
What documentation supports 92555?
Record that speech-threshold testing was performed and document the result for each ear. The record should distinguish threshold measurement from speech-recognition testing.
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
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