CPT code 92557: Comprehensive hearing test, air, bone, and speech testing2026 Medicare rate & RVUs in South Dakota
Diagnostic hearing evaluation combining air and bone conduction thresholds with speech reception and word recognition testing, reported as one bilateral service.
In South Dakota, Medicare pays $35.52 for 92557 in the office and $25.50 when it’s performed in a hospital or facility.
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.
On this page 11 sections
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 South Dakota 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. South Dakota pays $35.52. The RVUs are the same everywhere; the geographic indexes change the dollars.
- South Dakota · this page$35.52
- Los Angeles, CA · California$39.26+$3.74
- Washington, DC area · District of Columbia$39.59+$4.07
- Miami, FL · Florida$36.88+$1.36
- Chicago, IL · Illinois$36.39+$0.87
- Manhattan, NY · New York$39.71+$4.19
- Alaska · Alaska$46.61+$11.09
Other areas in South Dakota first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $33.67 | $24.91 |
| 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 |
| Merced, CACalifornia | $37.40 | $26.42 |
| Modesto, CACalifornia | $37.40 | $26.42 |
| Napa, CACalifornia | $41.72 | $28.52 |
| Oxnard, CACalifornia | $38.97 | $27.13 |
| Redding, CACalifornia | $37.40 | $26.42 |
| Rest of CaliforniaCalifornia | $37.40 | $26.42 |
| Riverside, CACalifornia | $37.53 | $26.54 |
| Sacramento, CACalifornia | $38.81 | $27.16 |
| Salinas, CACalifornia | $38.65 | $27.03 |
| San Diego, CACalifornia | $39.20 | $27.21 |
| Marin County, CACalifornia | $43.76 | $29.63 |
| San Francisco, CACalifornia | $43.75 | $29.62 |
| San Benito County, CACalifornia | $44.58 | $30.13 |
| Santa Clara County, CACalifornia | $44.53 | $30.08 |
| San Luis Obispo, CACalifornia | $38.06 | $26.65 |
| Santa Cruz, CACalifornia | $39.31 | $27.13 |
| Santa Maria, CACalifornia | $38.70 | $27.01 |
| Santa Rosa, CACalifornia | $39.69 | $27.38 |
| Stockton, CACalifornia | $37.40 | $26.42 |
| Vallejo, CACalifornia | $41.71 | $28.50 |
| Visalia, CACalifornia | $37.40 | $26.42 |
| Yuba City, CACalifornia | $37.40 | $26.42 |
| ColoradoColorado | $36.89 | $26.23 |
| ConnecticutConnecticut | $37.39 | $26.60 |
| DelawareDelaware | $35.62 | $25.72 |
| Fort Lauderdale, FLFlorida | $36.21 | $26.06 |
| Rest of FloridaFlorida | $35.23 | $25.65 |
| Atlanta, GAGeorgia | $36.11 | $25.93 |
| Rest of GeorgiaGeorgia | $34.14 | $25.21 |
| Hawaii, Guam, HIHawaii | $37.70 | $26.31 |
| IowaIowa | $34.23 | $25.06 |
| IdahoIdaho | $34.33 | $25.12 |
| East St. Louis, ILIllinois | $34.85 | $25.63 |
| Rest of IllinoisIllinois | $34.59 | $25.44 |
| Suburban Chicago, ILIllinois | $36.55 | $26.26 |
| IndianaIndiana | $34.45 | $25.16 |
| KansasKansas | $34.10 | $25.04 |
| KentuckyKentucky | $34.01 | $25.10 |
| New Orleans, LALouisiana | $34.88 | $25.45 |
| Rest of LouisianaLouisiana | $33.96 | $25.09 |
| Metropolitan Boston, MAMassachusetts | $39.50 | $27.54 |
| Rest of MassachusettsMassachusetts | $36.81 | $26.25 |
| Baltimore area, MDMaryland | $37.26 | $26.51 |
| Rest of MarylandMaryland | $36.10 | $25.96 |
| Rest of MaineMaine | $34.38 | $25.16 |
| Southern Maine, MEMaine | $35.48 | $25.55 |
| Detroit, MIMichigan | $35.43 | $25.76 |
| Rest of MichiganMichigan | $34.45 | $25.30 |
| MinnesotaMinnesota | $35.95 | $25.64 |
| Metropolitan Kansas City, MOMissouri | $34.79 | $25.39 |
| Metropolitan St. Louis, MOMissouri | $35.00 | $25.46 |
| Rest of MissouriMissouri | $33.61 | $24.97 |
| MississippiMississippi | $33.52 | $24.89 |
| MontanaMontana | $35.74 | $25.72 |
| North CarolinaNorth Carolina | $34.59 | $25.24 |
| North DakotaNorth Dakota | $35.54 | $25.52 |
| NebraskaNebraska | $34.35 | $25.10 |
| New HampshireNew Hampshire | $36.33 | $25.90 |
| Northern New JerseyNew Jersey | $39.48 | $27.86 |
| Rest of New JerseyNew Jersey | $37.99 | $27.04 |
| New MexicoNew Mexico | $34.53 | $25.34 |
| NevadaNevada | $35.70 | $25.67 |
| NYC suburbs and Long Island, NYNew York | $40.21 | $28.30 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $38.17 | $27.20 |
| Queens, NYNew York | $39.97 | $28.12 |
| Rest of New YorkNew York | $34.87 | $25.35 |
| OhioOhio | $34.40 | $25.26 |
| OklahomaOklahoma | $34.02 | $25.07 |
| Portland, OROregon | $37.68 | $26.55 |
| Rest of OregonOregon | $35.58 | $25.60 |
| Metropolitan Philadelphia, PAPennsylvania | $36.79 | $26.36 |
| Rest of PennsylvaniaPennsylvania | $34.46 | $25.26 |
| Puerto RicoPuerto Rico | $35.90 | $25.77 |
| Rhode IslandRhode Island | $36.59 | $26.24 |
| South CarolinaSouth Carolina | $34.52 | $25.26 |
| TennesseeTennessee | $34.19 | $25.08 |
| Austin, TXTexas | $36.63 | $26.03 |
| Beaumont, TXTexas | $34.33 | $25.21 |
| Brazoria, TXTexas | $35.69 | $25.76 |
| Dallas, TXTexas | $35.81 | $25.83 |
| Fort Worth, TXTexas | $35.66 | $25.78 |
| Galveston, TXTexas | $35.73 | $25.78 |
| Houston, TXTexas | $35.92 | $25.97 |
| Rest of TexasTexas | $34.92 | $25.41 |
| UtahUtah | $34.78 | $25.36 |
| VirginiaVirginia | $35.38 | $25.53 |
| Virgin Islands, VIUnited States Virgin Islands | $35.90 | $25.77 |
| VermontVermont | $35.42 | $25.50 |
| Rest of WashingtonWashington | $36.73 | $26.18 |
| King County, WAWashington | $40.17 | $27.87 |
| WisconsinWisconsin | $34.86 | $25.26 |
| West VirginiaWest Virginia | $33.87 | $25.16 |
| WyomingWyoming | $35.65 | $25.63 |
92557 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.
$33.41
$46.61
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 | $46.61 | 1 |
| AL | $33.67 | 1 |
| AR | $33.41 | 1 |
| AZ | $35.21 | 1 |
| CA | $37.40–$44.58 | 29 |
| CO | $36.89 | 1 |
| CT | $37.39 | 1 |
| DC | $39.59 | 1 |
| DE | $35.62 | 1 |
| FL | $35.23–$36.88 | 3 |
| GA | $34.14–$36.11 | 2 |
| GU | $37.70 | 1 |
| HI | $37.70 | 1 |
| IA | $34.23 | 1 |
| ID | $34.33 | 1 |
| IL | $34.59–$36.55 | 4 |
| IN | $34.45 | 1 |
| KS | $34.10 | 1 |
| KY | $34.01 | 1 |
| LA | $33.96–$34.88 | 2 |
| MA | $36.81–$39.50 | 2 |
| MD | $36.10–$39.59 | 3 |
| ME | $34.38–$35.48 | 2 |
| MI | $34.45–$35.43 | 2 |
| MN | $35.95 | 1 |
| MO | $33.61–$35.00 | 3 |
| MS | $33.52 | 1 |
| MT | $35.74 | 1 |
| NC | $34.59 | 1 |
| ND | $35.54 | 1 |
| NE | $34.35 | 1 |
| NH | $36.33 | 1 |
| NJ | $37.99–$39.48 | 2 |
| NM | $34.53 | 1 |
| NV | $35.70 | 1 |
| NY | $34.87–$40.21 | 5 |
| OH | $34.40 | 1 |
| OK | $34.02 | 1 |
| OR | $35.58–$37.68 | 2 |
| PA | $34.46–$36.79 | 2 |
| PR | $35.90 | 1 |
| RI | $36.59 | 1 |
| SC | $34.52 | 1 |
| SD | $35.52 | 1 |
| TN | $34.19 | 1 |
| TX | $34.33–$36.63 | 8 |
| UT | $34.78 | 1 |
| VA | $35.38–$39.59 | 2 |
| VI | $35.90 | 1 |
| VT | $35.42 | 1 |
| WA | $36.73–$40.17 | 2 |
| WI | $34.86 | 1 |
| WV | $33.87 | 1 |
| WY | $35.65 | 1 |
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
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 South Dakota 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
94
- Locality
- South Dakota
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.336
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.60 | × 1.000 | 0.6000 |
| Practice expense | 0.46 | × 1.000 | 0.4600 |
| Malpractice | 0.01 | × 0.336 | 0.0034 |
| Total RVUs | 1.0634 | ||
| Conversion factor | × 33.4009 | ||
Office rate, South Dakota$35.52
Office: (0.6 × 1 + 0.46 × 1 + 0.01 × 0.336) × $33.4009 = $35.52
Facility: (0.6 × 1 + 0.16 × 1 + 0.01 × 0.336) × $33.4009 = $25.50
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
| 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 | 7 | Therapy 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.
How 92557 has changed in South Dakota
92557 · Office / nonfacility
$35.52
Effective 2026-10-01
The base rate is $0.66 higher than on 2025-10-01, moving from $34.86 to $35.52 (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
$34.86changed to$35.52
- 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
- Malpractice GPCI 0.382 changed to 0.336
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$35.87changed to$34.86
- Conversion factor 33.2875 changed to 32.3465
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$35.29changed to$35.87
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$36.84changed to$35.29
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 0.48 changed to 0.47
- Malpractice GPCI 0.364 changed to 0.382
January 1, 2023
RVU23A
$37.51changed to$36.84
- 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
- Malpractice GPCI 0.347 changed to 0.364
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$38.17changed to$37.51
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 0.48 changed to 0.47
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$38.29changed to$38.17
- 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
- Malpractice GPCI 0.368 changed to 0.347
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$38.26changed to$38.29
- Conversion factor 36.0391 changed to 36.0896
- Malpractice GPCI 0.389 changed to 0.368
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$37.86changed to$38.26
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 0.44 changed to 0.45
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$37.75changed to$37.86
- Conversion factor 35.8887 changed to 35.9996
- Malpractice GPCI 0.395 changed to 0.389
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$37.31changed to$37.75
- Conversion factor 35.8043 changed to 35.8887
- Practice expense RVU 0.43 changed to 0.44
- Malpractice GPCI 0.400 changed to 0.395
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$37.30changed to$37.31
- Conversion factor 35.9335 changed to 35.8043
- Malpractice RVU 0.02 changed to 0.03
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$37.11changed to$37.30
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$37.34changed to$37.11
- Conversion factor 35.8228 changed to 35.7547
- Malpractice RVU 0.03 changed to 0.02
- Malpractice GPCI 0.416 changed to 0.400
Held through RVU15B.
January 1, 2014
RVU14A
$36.85changed to$37.34
- Conversion factor 34.0230 changed to 35.8228
- Practice expense RVU 0.47 changed to 0.43
- Malpractice GPCI 0.432 changed to 0.416
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: $36.85
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $35.52 | $25.50 | RVU26D |
| 2026-07-01 | $35.52 | $25.50 | RVU26C |
| 2026-04-01 | $35.52 | $25.50 | RVU26B |
| 2026-01-01 | $35.52 | $25.50 | RVU26A |
| 2025-10-01 | $34.86 | $30.33 | RVU25D |
| 2025-07-01 | $34.86 | $30.33 | RVU25C |
| 2025-04-01 | $34.86 | $30.33 | RVU25B |
| 2025-01-01 | $34.86 | $30.33 | RVU25A |
| 2024-10-01 | $35.87 | $30.88 | RVU24D |
| 2024-07-01 | $35.87 | $30.88 | RVU24C |
| 2024-04-01 | $35.87 | $30.88 | RVU24B |
| 2024-03-09 | $35.87 | $30.88 | RVU24AR |
| 2024-01-01 | $35.29 | $30.37 | RVU24A |
| 2023-10-01 | $36.84 | $31.42 | RVU23D |
| 2023-07-01 | $36.84 | $31.42 | RVU23C |
| 2023-04-01 | $36.84 | $31.42 | RVU23B |
| 2023-01-01 | $36.84 | $31.42 | RVU23A |
| 2022-10-01 | $37.51 | $31.97 | RVU22D |
| 2022-07-01 | $37.51 | $31.97 | RVU22C |
| 2022-04-01 | $37.51 | $31.97 | RVU22B |
| 2022-01-01 | $37.51 | $31.97 | RVU22A |
| 2021-10-01 | $38.17 | $32.24 | RVU21D |
| 2021-07-01 | $38.17 | $32.24 | RVU21C |
| 2021-04-01 | $38.17 | $32.24 | RVU21B |
| 2021-01-01 | $38.17 | $32.24 | RVU21A |
| 2020-10-01 | $38.29 | $32.88 | RVU20D |
| 2020-07-01 | $38.29 | $32.88 | RVU20C |
| 2020-04-01 | $38.29 | $32.88 | RVU20B |
| 2020-01-01 | $38.29 | $32.88 | RVU20A |
| 2019-10-01 | $38.26 | $32.86 | RVU19D |
| 2019-07-01 | $38.26 | $32.86 | RVU19C |
| 2019-04-01 | $38.26 | $32.86 | RVU19B |
| 2019-01-01 | $38.26 | $32.86 | RVU19A |
| 2018-10-01 | $37.86 | $32.82 | RVU18D |
| 2018-07-01 | $37.86 | $32.82 | RVU18C |
| 2018-04-01 | $37.86 | $32.82 | RVU18B |
| 2018-01-01 | $37.86 | $32.82 | RVU18AR1 |
| 2017-10-01 | $37.75 | $32.73 | RVU17D |
| 2017-07-01 | $37.75 | $32.73 | RVU17C |
| 2017-04-01 | $37.75 | $32.73 | RVU17B |
| 2017-01-01 | $37.75 | $32.73 | RVU17A |
| 2016-10-01 | $37.31 | $32.65 | RVU16D |
| 2016-07-01 | $37.31 | $32.65 | RVU16C |
| 2016-04-01 | $37.31 | $32.65 | RVU16B |
| 2016-01-01 | $37.31 | $32.65 | RVU16A |
| 2015-10-01 | $37.30 | $32.27 | RVU15D |
| 2015-07-01 | $37.30 | $32.27 | RVU15C |
| 2015-04-01 | $37.11 | $32.11 | RVU15B |
| 2015-01-01 | $37.11 | $32.11 | RVU15A |
| 2014-10-01 | $37.34 | $32.33 | RVU14D |
| 2014-07-01 | $37.34 | $32.33 | RVU14C |
| 2014-04-01 | $37.34 | $32.33 | RVU14B |
| 2014-01-01 | $37.34 | $32.33 | RVU14A |
| 2013-10-01 | $36.85 | $31.40 | RVU13D |
| 2013-07-01 | $36.85 | $31.40 | RVU13C |
| 2013-04-01 | $36.85 | $31.40 | RVU13B |
| 2013-01-01 | $36.85 | $31.40 | 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
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
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