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CPT code 92557: Comprehensive hearing test, air, bone, and speech testing2026 Medicare rate & RVUs in Alabama

Diagnostic hearing evaluation combining air and bone conduction thresholds with speech reception and word recognition testing, reported as one bilateral service.

CMS RVU26DEffective Oct 1, 2026One payment locality1.3M Medicare services in 2024

In Alabama, Medicare pays $33.67 for 92557 in the office and $24.91 when it’s performed in a hospital or facility.

$33.67Office (non-facility)
$24.91Hospital or facility
−5.8%vs the national office rate ($35.74)

Check a contract rate as a % of Medicare · 92557 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 92557 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Alabama
  2. What 92557 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 92557 covers

This diagnostic audiogram measures pure tone air and bone conduction thresholds across test frequencies, with masking when needed. It also measures a speech reception threshold and word recognition at levels above that threshold. Audiologists typically perform the testing in a sound booth at an ENT practice, hospital outpatient audiology department, or audiology clinic. Common indications include suspected hearing loss, tinnitus, asymmetric hearing loss, sudden hearing loss, and monitoring for ototoxic effects.

Report one unit when the pure tone and complete speech portions are performed for both ears. The record should show the air and bone thresholds, speech reception thresholds, word recognition scores, any masking used, and interpretation. Do not separately report 92553 or 92556 for testing included in 92557. CMS identifies this as a therapy service for which the professional component modifier does not apply, so modifier 26 is not used to bill an interpretation alone. CMS prices the service as bilateral; modifier 50 does not increase payment. If testing is limited to one ear, report the reduced service with modifier 52.

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 92557

Across 109 of 109 payment localities, the office rate for 92557 runs from $33.41 in Arkansas to $46.61 in Alaska. Alabama pays $33.67. The RVUs are the same everywhere; the geographic indexes change the dollars.

92557 in Alabama vs other payment areas
  1. Alabama · this page$33.67
  2. Los Angeles, CA · California$39.26+$5.59
  3. Washington, DC area · District of Columbia$39.59+$5.92
  4. Miami, FL · Florida$36.88+$3.21
  5. Chicago, IL · Illinois$36.39+$2.72
  6. Manhattan, NY · New York$39.71+$6.04
  7. Alaska · Alaska$46.61+$12.94

Other areas in Alabama first, then benchmark localities. Bars start at $0.

Every other payment area

92557 in every other Medicare payment locality
Payment localityOfficeFacility
ArkansasArkansas$33.41$24.80
ArizonaArizona$35.21$25.50
Bakersfield, CACalifornia$37.46$26.48
Chico, CACalifornia$37.40$26.42
El Centro, CACalifornia$37.40$26.42
Fresno, CACalifornia$37.40$26.42
Hanford, CACalifornia$37.40$26.42
Madera, CACalifornia$37.40$26.42

92557 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.

$33.41

$46.61

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
92557 office rate range by state
State / territoryOffice rate rangeLocalities
AK$46.611
AL$33.671
AR$33.411
AZ$35.211
CA$37.40–$44.5829
CO$36.891
CT$37.391
DC$39.591
DE$35.621
FL$35.23–$36.883
GA$34.14–$36.112
GU$37.701
HI$37.701
IA$34.231
ID$34.331
IL$34.59–$36.554
IN$34.451
KS$34.101
KY$34.011
LA$33.96–$34.882
MA$36.81–$39.502
MD$36.10–$39.593
ME$34.38–$35.482
MI$34.45–$35.432
MN$35.951
MO$33.61–$35.003
MS$33.521
MT$35.741
NC$34.591
ND$35.541
NE$34.351
NH$36.331
NJ$37.99–$39.482
NM$34.531
NV$35.701
NY$34.87–$40.215
OH$34.401
OK$34.021
OR$35.58–$37.682
PA$34.46–$36.792
PR$35.901
RI$36.591
SC$34.521
SD$35.521
TN$34.191
TX$34.33–$36.638
UT$34.781
VA$35.38–$39.592
VI$35.901
VT$35.421
WA$36.73–$40.172
WI$34.861
WV$33.871
WY$35.651

See 92557 in every payment locality

How the 92557 rate is calculated

Each of 92557’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 · 92557

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.60

0.60 RVUs× 1.000 GPCI

Practice expense0.46

0.46 RVUs× 1.000 GPCI

Malpractice0.01

0.01 RVUs× 1.000 GPCI

Adjusted RVUs

1.0700

Conversion factor

$33.4009

Medicare rate

$35.74

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

11,834

Code
92557
Physician work
0.60
Practice expense
0.46
Malpractice
0.01

GPCI2026.csv

4

Locality
Alabama
Physician work
1.000
Practice expense
0.875
Malpractice
0.566
Office calculation for 92557 in Alabama
ComponentRVULocality factorAdjusted
Physician work0.60× 1.0000.6000
Practice expense0.46× 0.8750.4025
Malpractice0.01× 0.5660.0057
Total RVUs1.0082
Conversion factor× 33.4009

Office rate, Alabama$33.67

Office: (0.6 × 1 + 0.46 × 0.875 + 0.01 × 0.566) × $33.4009 = $33.67

Facility: (0.6 × 1 + 0.16 × 0.875 + 0.01 × 0.566) × $33.4009 = $24.91

Open 92557 in the RVU calculator

Payment rules and modifiers for 92557

The CMS indicators that decide how 92557 is paid alongside other services.

CMS payment indicators · 92557

Comprehensive hearing test, air, bone, and speech testing

RuleCMS valueWhat it means
Global periodXXXThe global surgery concept doesn’t apply.
Multiple procedures0No multiple-procedure reduction.
Bilateral (modifier 50)2Already bilateral by definition: paid once at 100%.
Assistant at surgery (80/81/82/AS)0Not paid without supporting documentation.
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical7Therapy service: the split doesn’t apply.

What modifiers do to the payment

Modifier CQ · payment effect

With and without the modifier

92557 without CQ · national office

$35.74

Comprehensive hearing test, air, bone, and speech testing

92557-CQ · Allowed amount unchanged

$35.74

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.

Codes related to 92557

Related codes aren’t interchangeable: bill the code that matches the service performed.

Codes related to 92557
CodeHow it relatesOffice range, Alabama
Same family
92553Audiometry, air and bone thresholdsAir and bone pure tone thresholds only, without the speech audiometry portion.$42.86
92556Speech audiometry, with speech recognitionComplete speech audiometry alone, without pure tone threshold testing.$40.52
92552Pure-tone audiometry, air conduction onlyAir conduction pure tone thresholds only; included when this comprehensive test is performed.$35.26
92555Speech audiometry, threshold onlySpeech threshold only, without word recognition; included in the comprehensive test.$25.91
Often billed with
92550Middle-ear testing, tympanometry and reflex thresholdsTympanometry with acoustic reflex thresholds may be performed at the same audiology visit.$20.35
92567Tympanometry, middle ear pressure and mobilityTympanometry alone may assess middle ear function alongside the audiogram.$14.76
92570Immittance testing, tympanometry and reflex measuresImmittance testing with reflex threshold and decay measures may accompany the comprehensive audiogram.$29.67
Used instead
92551Hearing screening, pure tone, air onlyAir-only pure tone screening when a screening test, rather than diagnostic audiometry, is needed.No office rate

How 92557 has changed in Alabama

92557 · Office / nonfacility

$33.67

Effective 2026-10-01

The base rate is $0.68 higher than on 2025-10-01, moving from $32.99 to $33.67 (2.1%).

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

    $32.99changed to$33.67

    • Conversion factor 32.3465 changed to 33.4009
    • Practice expense RVU 0.47 changed to 0.46
    • Malpractice RVU 0.02 changed to 0.01
    • Practice expense GPCI 0.869 changed to 0.875
    • Malpractice GPCI 0.575 changed to 0.566

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $33.95changed to$32.99

    • Conversion factor 33.2875 changed to 32.3465

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $33.40changed to$33.95

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $35.12changed to$33.40

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 0.48 changed to 0.47
    • Practice expense GPCI 0.878 changed to 0.869
    • Malpractice GPCI 0.748 changed to 0.575

  5. January 1, 2023

    RVU23A

    $36.48changed to$35.12

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 0.47 changed to 0.48
    • Malpractice RVU 0.04 changed to 0.02
    • Practice expense GPCI 0.888 changed to 0.878
    • Malpractice GPCI 0.921 changed to 0.748

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $37.09changed to$36.48

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 0.48 changed to 0.47

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $36.86changed to$37.09

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 0.45 changed to 0.48
    • Malpractice RVU 0.03 changed to 0.04
    • Practice expense GPCI 0.889 changed to 0.888
    • Malpractice GPCI 0.707 changed to 0.921

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $36.59changed to$36.86

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense GPCI 0.890 changed to 0.889
    • Malpractice GPCI 0.492 changed to 0.707

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $36.23changed to$36.59

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 0.44 changed to 0.45

    Held through RVU19B, RVU19C, RVU19D.

  10. April 1, 2018

    RVU18B

    No ratechanged to$36.23

    Held through RVU18C, RVU18D.

  11. 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.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$33.67$24.91RVU26D
2026-07-01$33.67$24.91RVU26C
2026-04-01$33.67$24.91RVU26B
2026-01-01$33.67$24.91RVU26A
2025-10-01$32.99$29.06RVU25D
2025-07-01$32.99$29.06RVU25C
2025-04-01$32.99$29.06RVU25B
2025-01-01$32.99$29.06RVU25A
2024-10-01$33.95$29.61RVU24D
2024-07-01$33.95$29.61RVU24C
2024-04-01$33.95$29.61RVU24B
2024-03-09$33.95$29.61RVU24AR
2024-01-01$33.40$29.13RVU24A
2023-10-01$35.12$30.36RVU23D
2023-07-01$35.12$30.36RVU23C
2023-04-01$35.12$30.36RVU23B
2023-01-01$35.12$30.36RVU23A
2022-10-01$36.48$31.57RVU22D
2022-07-01$36.48$31.57RVU22C
2022-04-01$36.48$31.57RVU22B
2022-01-01$36.48$31.57RVU22A
2021-10-01$37.09$31.83RVU21D
2021-07-01$37.09$31.83RVU21C
2021-04-01$37.09$31.83RVU21B
2021-01-01$37.09$31.83RVU21A
2020-10-01$36.86$32.04RVU20D
2020-07-01$36.86$32.04RVU20C
2020-04-01$36.86$32.04RVU20B
2020-01-01$36.86$32.04RVU20A
2019-10-01$36.59$31.78RVU19D
2019-07-01$36.59$31.78RVU19C
2019-04-01$36.59$31.78RVU19B
2019-01-01$36.59$31.78RVU19A
2018-10-01$36.23$31.74RVU18D
2018-07-01$36.23$31.74RVU18C
2018-04-01$36.23$31.74RVU18B
2018-01-01Rate data unavailableRate data unavailableRVU18AR1
2017-10-01Rate data unavailableRate data unavailableRVU17D
2017-07-01Rate data unavailableRate data unavailableRVU17C
2017-04-01Rate data unavailableRate data unavailableRVU17B
2017-01-01Rate data unavailableRate data unavailableRVU17A
2016-10-01Rate data unavailableRate data unavailableRVU16D
2016-07-01Rate data unavailableRate data unavailableRVU16C
2016-04-01Rate data unavailableRate data unavailableRVU16B
2016-01-01Rate data unavailableRate data unavailableRVU16A
2015-10-01Rate data unavailableRate data unavailableRVU15D
2015-07-01Rate data unavailableRate data unavailableRVU15C
2015-04-01Rate data unavailableRate data unavailableRVU15B
2015-01-01Rate data unavailableRate data unavailableRVU15A
2014-10-01Rate data unavailableRate data unavailableRVU14D
2014-07-01Rate data unavailableRate data unavailableRVU14C
2014-04-01Rate data unavailableRate data unavailableRVU14B
2014-01-01Rate data unavailableRate data unavailableRVU14A
2013-10-01Rate data unavailableRate data unavailableRVU13D
2013-07-01Rate data unavailableRate data unavailableRVU13C
2013-04-01Rate data unavailableRate data unavailableRVU13B
2013-01-01Rate data unavailableRate data unavailableRVU13AR

Price 92557 for an earlier date of service

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

Browse all communities in Alabama

92557 billing questions

Can 92553 or 92556 be billed with 92557 for the same testing?

No. 92557 combines air and bone pure tone audiometry with complete speech audiometry. Reporting either component code for those same tests would duplicate the service.

Should modifier 50 or RT/LT be added when both ears are tested?

No. One unit of 92557 represents bilateral testing, and CMS states that modifier 50 does not increase payment.

What if only one ear could be tested?

Append modifier 52 to indicate that the bilateral service was reduced to testing one ear. Document which ear was tested and why the other ear was not.

Is tympanometry included?

No. Tympanometry is separate; depending on the immittance measures performed, 92550, 92567, or 92570 may be reported at the same visit.

Can modifier 26 be used when a physician interprets an audiogram performed elsewhere?

No. CMS identifies 92557 as a therapy service for which the professional component modifier does not apply; an interpretation alone is not billed as 92557-26.

What if speech testing is not completed?

If only air and bone thresholds are obtained, report 92553 instead. Complete speech audiometry, including speech reception threshold and word recognition, is needed for 92557.

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 92557PPRRVU2026_Oct_nonQPP.csv, line 11,834 (RVU26D)
Geographic factors for AlabamaGPCI2026.csv, line 4 (RVU26D)

Open CMS sourceHow we calculate rates

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