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

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 Brazoria, TX, Medicare pays $35.69 for 92557 in the office and $25.76 when it’s performed in a hospital or facility.

$35.69Office (non-facility)
$25.76Hospital or facility
−0.1%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 Brazoria, TX
  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 Brazoria, TX 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. Brazoria, TX pays $35.69. The RVUs are the same everywhere; the geographic indexes change the dollars.

92557 in Brazoria, TX vs other payment areas
  1. Brazoria, TX · this page$35.69
  2. Austin, TX · Texas$36.63+$0.94
  3. Beaumont, TX · Texas$34.33−$1.36
  4. Dallas, TX · Texas$35.81+$0.12
  5. Fort Worth, TX · Texas$35.66−$0.03
  6. Galveston, TX · Texas$35.73+$0.04
  7. Houston, TX · Texas$35.92+$0.23

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

Every other payment area

92557 in every other Medicare payment locality
Payment localityOfficeFacility
Rest of TexasTexas$34.92$25.41
Los Angeles, CACalifornia$39.26$27.41
Washington, DC areaDistrict of Columbia$39.59$27.79
Miami, FLFlorida$36.88$26.45
Chicago, ILIllinois$36.39$26.32
Manhattan, NYNew York$39.71$28.06
AlaskaAlaska$46.61$35.94
AlabamaAlabama$33.67$24.91

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 Brazoria, TX 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

98

Locality
Brazoria, TX
Physician work
1.008
Practice expense
0.991
Malpractice
0.780
Office calculation for 92557 in Brazoria, TX
ComponentRVULocality factorAdjusted
Physician work0.60× 1.0080.6048
Practice expense0.46× 0.9910.4559
Malpractice0.01× 0.7800.0078
Total RVUs1.0685
Conversion factor× 33.4009

Office rate, Brazoria, TX$35.69

Office: (0.6 × 1.008 + 0.46 × 0.991 + 0.01 × 0.78) × $33.4009 = $35.69

Facility: (0.6 × 1.008 + 0.16 × 0.991 + 0.01 × 0.78) × $33.4009 = $25.76

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, Brazoria, TX
Same family
92553Audiometry, air and bone thresholdsAir and bone pure tone thresholds only, without the speech audiometry portion.$48.59
92556Speech audiometry, with speech recognitionComplete speech audiometry alone, without pure tone threshold testing.$45.94
92552Pure-tone audiometry, air conduction onlyAir conduction pure tone thresholds only; included when this comprehensive test is performed.$39.98
92555Speech audiometry, threshold onlySpeech threshold only, without word recognition; included in the comprehensive test.$29.39
Often billed with
92550Middle-ear testing, tympanometry and reflex thresholdsTympanometry with acoustic reflex thresholds may be performed at the same audiology visit.$21.64
92567Tympanometry, middle ear pressure and mobilityTympanometry alone may assess middle ear function alongside the audiogram.$15.93
92570Immittance testing, tympanometry and reflex measuresImmittance testing with reflex threshold and decay measures may accompany the comprehensive audiogram.$31.36
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 Brazoria, TX

92557 · Office / nonfacility

$35.69

Effective 2026-10-01

The base rate is $0.20 higher than on 2025-10-01, moving from $35.49 to $35.69 (0.6%).

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

    $35.49changed to$35.69

    • 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
    • Work GPCI 1.014 changed to 1.008
    • Practice expense GPCI 1.006 changed to 0.991
    • Malpractice GPCI 0.795 changed to 0.780

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $36.52changed to$35.49

    • Conversion factor 33.2875 changed to 32.3465

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $35.92changed to$36.52

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $37.75changed to$35.92

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 0.48 changed to 0.47
    • Work GPCI 1.023 changed to 1.014
    • Practice expense GPCI 1.014 changed to 1.006
    • Malpractice GPCI 0.673 changed to 0.795

  5. January 1, 2023

    RVU23A

    $38.83changed to$37.75

    • 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
    • Work GPCI 1.032 changed to 1.023
    • Practice expense GPCI 1.023 changed to 1.014
    • Malpractice GPCI 0.550 changed to 0.673

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $39.51changed to$38.83

    • 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

    $39.37changed to$39.51

    • 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
    • Work GPCI 1.026 changed to 1.032
    • Practice expense GPCI 1.010 changed to 1.023
    • Malpractice GPCI 0.695 changed to 0.550

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $39.13changed to$39.37

    • Conversion factor 36.0391 changed to 36.0896
    • Work GPCI 1.020 changed to 1.026
    • Practice expense GPCI 0.997 changed to 1.010
    • Malpractice GPCI 0.839 changed to 0.695

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $38.73changed to$39.13

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

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $38.63changed to$38.73

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense GPCI 0.994 changed to 0.997
    • Malpractice GPCI 0.897 changed to 0.839

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $38.16changed to$38.63

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 0.43 changed to 0.44
    • Work GPCI 1.019 changed to 1.020
    • Practice expense GPCI 0.990 changed to 0.994
    • Malpractice GPCI 0.955 changed to 0.897

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $37.95changed to$38.16

    • Conversion factor 35.9335 changed to 35.8043
    • Malpractice RVU 0.02 changed to 0.03

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $37.76changed to$37.95

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $38.04changed to$37.76

    • Conversion factor 35.8228 changed to 35.7547
    • Malpractice RVU 0.03 changed to 0.02
    • Work GPCI 1.014 changed to 1.019
    • Practice expense GPCI 0.989 changed to 0.990
    • Malpractice GPCI 0.939 changed to 0.955

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $37.32changed to$38.04

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 0.47 changed to 0.43
    • Work GPCI 1.009 changed to 1.014
    • Practice expense GPCI 0.987 changed to 0.989
    • Malpractice GPCI 0.923 changed to 0.939

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $37.32

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$35.69$25.76RVU26D
2026-07-01$35.69$25.76RVU26C
2026-04-01$35.69$25.76RVU26B
2026-01-01$35.69$25.76RVU26A
2025-10-01$35.49$30.93RVU25D
2025-07-01$35.49$30.93RVU25C
2025-04-01$35.49$30.93RVU25B
2025-01-01$35.49$30.93RVU25A
2024-10-01$36.52$31.50RVU24D
2024-07-01$36.52$31.50RVU24C
2024-04-01$36.52$31.50RVU24B
2024-03-09$36.52$31.50RVU24AR
2024-01-01$35.92$30.98RVU24A
2023-10-01$37.75$32.25RVU23D
2023-07-01$37.75$32.25RVU23C
2023-04-01$37.75$32.25RVU23B
2023-01-01$37.75$32.25RVU23A
2022-10-01$38.83$33.16RVU22D
2022-07-01$38.83$33.16RVU22C
2022-04-01$38.83$33.16RVU22B
2022-01-01$38.83$33.16RVU22A
2021-10-01$39.51$33.44RVU21D
2021-07-01$39.51$33.44RVU21C
2021-04-01$39.51$33.44RVU21B
2021-01-01$39.51$33.44RVU21A
2020-10-01$39.37$33.90RVU20D
2020-07-01$39.37$33.90RVU20C
2020-04-01$39.37$33.90RVU20B
2020-01-01$39.37$33.90RVU20A
2019-10-01$39.13$33.74RVU19D
2019-07-01$39.13$33.74RVU19C
2019-04-01$39.13$33.74RVU19B
2019-01-01$39.13$33.74RVU19A
2018-10-01$38.73$33.71RVU18D
2018-07-01$38.73$33.71RVU18C
2018-04-01$38.73$33.71RVU18B
2018-01-01$38.73$33.71RVU18AR1
2017-10-01$38.63$33.63RVU17D
2017-07-01$38.63$33.63RVU17C
2017-04-01$38.63$33.63RVU17B
2017-01-01$38.63$33.63RVU17A
2016-10-01$38.16$33.55RVU16D
2016-07-01$38.16$33.55RVU16C
2016-04-01$38.16$33.55RVU16B
2016-01-01$38.16$33.55RVU16A
2015-10-01$37.95$32.97RVU15D
2015-07-01$37.95$32.97RVU15C
2015-04-01$37.76$32.81RVU15B
2015-01-01$37.76$32.81RVU15A
2014-10-01$38.04$33.08RVU14D
2014-07-01$38.04$33.08RVU14C
2014-04-01$38.04$33.08RVU14B
2014-01-01$38.04$33.08RVU14A
2013-10-01$37.32$31.95RVU13D
2013-07-01$37.32$31.95RVU13C
2013-04-01$37.32$31.95RVU13B
2013-01-01$37.32$31.95RVU13AR

Price 92557 for an earlier date of service

Where the Brazoria, TX rate applies

Brazoria, TX is a Medicare payment area, not a city. Our Census mapping connects it to 28 cities and communities in Texas. Some span more than one payment area; confirm with the service ZIP.

  • Brazoria
  • Alvin
  • Angleton
  • Bailey's Prairie
  • Bonney
  • Brookside Village
  • Clute
  • Damon

Browse all communities in Texas

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 Brazoria, TXGPCI2026.csv, line 98 (RVU26D)

Open CMS sourceHow we calculate rates

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