CPT code 92555: Speech audiometry, threshold only2026 Medicare rate & RVUs in South Dakota
Reports speech-threshold testing that measures the softest level at which a patient can recognize spoken test words in each ear.
In South Dakota, Medicare pays $29.51 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 South Dakota 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. South Dakota pays $29.51. The RVUs are the same everywhere; the geographic indexes change the dollars.
- South Dakota · this page$29.51
- Los Angeles, CA · California$34.99+$5.48
- Washington, DC area · District of Columbia$35.00+$5.49
- Miami, FL · Florida$31.44+$1.93
- Chicago, IL · Illinois$30.31+$0.80
- Manhattan, NY · New York$34.68+$5.17
- Alaska · Alaska$31.49+$1.98
Other areas in South Dakota first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $25.91 | — |
| 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 | — |
| 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 South Dakota 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
94
- Locality
- South Dakota
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.336
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.00 | × 1.000 | 0.0000 |
| Practice expense | 0.88 | × 1.000 | 0.8800 |
| Malpractice | 0.01 | × 0.336 | 0.0034 |
| Total RVUs | 0.8834 | ||
| Conversion factor | × 33.4009 | ||
Office rate, South Dakota$29.51
Office: (0 × 1 + 0.88 × 1 + 0.01 × 0.336) × $33.4009 = $29.51
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 South Dakota
92555 · Office / nonfacility
$29.51
Effective 2026-10-01
The base rate is $0.27 higher than on 2025-10-01, moving from $29.24 to $29.51 (0.9%).
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
$29.24changed to$29.51
- Conversion factor 32.3465 changed to 33.4009
- Practice expense RVU 0.90 changed to 0.88
- Malpractice GPCI 0.382 changed to 0.336
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$28.75changed to$29.24
- 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
$28.29changed to$28.75
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$27.57changed to$28.29
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 0.81 changed to 0.86
- Malpractice GPCI 0.364 changed to 0.382
January 1, 2023
RVU23A
$25.73changed to$27.57
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 0.74 changed to 0.81
- Malpractice GPCI 0.347 changed to 0.364
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$24.90changed to$25.73
- 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
$23.95changed to$24.90
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 0.66 changed to 0.71
- Malpractice GPCI 0.368 changed to 0.347
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$24.29changed to$23.95
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 0.67 changed to 0.66
- Malpractice GPCI 0.389 changed to 0.368
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$24.26changed to$24.29
- Conversion factor 35.9996 changed to 36.0391
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$23.47changed to$24.26
- Conversion factor 35.8887 changed to 35.9996
- Practice expense RVU 0.65 changed to 0.67
- Malpractice GPCI 0.395 changed to 0.389
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$23.42changed to$23.47
- Conversion factor 35.8043 changed to 35.8887
- Malpractice GPCI 0.400 changed to 0.395
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$23.14changed to$23.42
- Conversion factor 35.9335 changed to 35.8043
- Practice expense RVU 0.64 changed to 0.65
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$23.03changed to$23.14
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$22.72changed to$23.03
- Conversion factor 35.8228 changed to 35.7547
- Practice expense RVU 0.63 changed to 0.64
- Malpractice GPCI 0.416 changed to 0.400
Held through RVU15B.
January 1, 2014
RVU14A
$24.30changed to$22.72
- Conversion factor 34.0230 changed to 35.8228
- Practice expense RVU 0.71 changed to 0.63
- Malpractice GPCI 0.432 changed to 0.416
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: $24.30
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $29.51 | Not available in this setting | RVU26D |
| 2026-07-01 | $29.51 | Not available in this setting | RVU26C |
| 2026-04-01 | $29.51 | Not available in this setting | RVU26B |
| 2026-01-01 | $29.51 | Not available in this setting | RVU26A |
| 2025-10-01 | $29.24 | Not available in this setting | RVU25D |
| 2025-07-01 | $29.24 | Not available in this setting | RVU25C |
| 2025-04-01 | $29.24 | Not available in this setting | RVU25B |
| 2025-01-01 | $29.24 | Not available in this setting | RVU25A |
| 2024-10-01 | $28.75 | Not available in this setting | RVU24D |
| 2024-07-01 | $28.75 | Not available in this setting | RVU24C |
| 2024-04-01 | $28.75 | Not available in this setting | RVU24B |
| 2024-03-09 | $28.75 | Not available in this setting | RVU24AR |
| 2024-01-01 | $28.29 | Not available in this setting | RVU24A |
| 2023-10-01 | $27.57 | Not available in this setting | RVU23D |
| 2023-07-01 | $27.57 | Not available in this setting | RVU23C |
| 2023-04-01 | $27.57 | Not available in this setting | RVU23B |
| 2023-01-01 | $27.57 | Not available in this setting | RVU23A |
| 2022-10-01 | $25.73 | Not available in this setting | RVU22D |
| 2022-07-01 | $25.73 | Not available in this setting | RVU22C |
| 2022-04-01 | $25.73 | Not available in this setting | RVU22B |
| 2022-01-01 | $25.73 | Not available in this setting | RVU22A |
| 2021-10-01 | $24.90 | Not available in this setting | RVU21D |
| 2021-07-01 | $24.90 | Not available in this setting | RVU21C |
| 2021-04-01 | $24.90 | Not available in this setting | RVU21B |
| 2021-01-01 | $24.90 | Not available in this setting | RVU21A |
| 2020-10-01 | $23.95 | Not available in this setting | RVU20D |
| 2020-07-01 | $23.95 | Not available in this setting | RVU20C |
| 2020-04-01 | $23.95 | Not available in this setting | RVU20B |
| 2020-01-01 | $23.95 | Not available in this setting | RVU20A |
| 2019-10-01 | $24.29 | Not available in this setting | RVU19D |
| 2019-07-01 | $24.29 | Not available in this setting | RVU19C |
| 2019-04-01 | $24.29 | Not available in this setting | RVU19B |
| 2019-01-01 | $24.29 | Not available in this setting | RVU19A |
| 2018-10-01 | $24.26 | Not available in this setting | RVU18D |
| 2018-07-01 | $24.26 | Not available in this setting | RVU18C |
| 2018-04-01 | $24.26 | Not available in this setting | RVU18B |
| 2018-01-01 | $24.26 | Not available in this setting | RVU18AR1 |
| 2017-10-01 | $23.47 | Not available in this setting | RVU17D |
| 2017-07-01 | $23.47 | Not available in this setting | RVU17C |
| 2017-04-01 | $23.47 | Not available in this setting | RVU17B |
| 2017-01-01 | $23.47 | Not available in this setting | RVU17A |
| 2016-10-01 | $23.42 | Not available in this setting | RVU16D |
| 2016-07-01 | $23.42 | Not available in this setting | RVU16C |
| 2016-04-01 | $23.42 | Not available in this setting | RVU16B |
| 2016-01-01 | $23.42 | Not available in this setting | RVU16A |
| 2015-10-01 | $23.14 | Not available in this setting | RVU15D |
| 2015-07-01 | $23.14 | Not available in this setting | RVU15C |
| 2015-04-01 | $23.03 | Not available in this setting | RVU15B |
| 2015-01-01 | $23.03 | Not available in this setting | RVU15A |
| 2014-10-01 | $22.72 | Not available in this setting | RVU14D |
| 2014-07-01 | $22.72 | Not available in this setting | RVU14C |
| 2014-04-01 | $22.72 | Not available in this setting | RVU14B |
| 2014-01-01 | $22.72 | Not available in this setting | RVU14A |
| 2013-10-01 | $24.30 | Not available in this setting | RVU13D |
| 2013-07-01 | $24.30 | Not available in this setting | RVU13C |
| 2013-04-01 | $24.30 | Not available in this setting | RVU13B |
| 2013-01-01 | $24.30 | Not available in this setting | RVU13AR |
Where the South Dakota rate applies
South Dakota is a Medicare payment area, not a city. Our Census mapping connects it to 485 cities and communities in South Dakota. Some span more than one payment area; confirm with the service ZIP.
- Aberdeen
- Agar
- Agency Village
- Akaska
- Albee
- Alcester
- Alexandria
- Allen
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
Show the CMS file lines behind this rate
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