CPT code 92567: Tympanometry, middle ear pressure and mobility2026 Medicare rate & RVUs in Alabama
Measures eardrum mobility and middle ear pressure with a pressurized ear canal probe when evaluating effusion, eustachian tube dysfunction, or conductive hearing loss.
In Alabama, Medicare pays $14.76 for 92567 in the office and $8.33 when it’s performed in a hospital or facility.
Check a contract rate as a % of Medicare · 92567 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 92567 covers
Tympanometry uses a sealed ear canal probe to vary air pressure and record how the tympanic membrane and middle ear system respond. The tympanogram helps assess middle ear fluid, negative pressure from eustachian tube dysfunction, and possible perforation or a patent ventilation tube when ear canal volume is unusually large. Audiologists, otolaryngologists, pediatricians, and primary care practices perform the test, usually in an office, sometimes alongside pure tone audiometry or after obstructing cerumen is removed.
Report one unit for testing both ears. CMS already prices 92567 as bilateral, so modifier 50 adds no payment; use modifier 52 to identify a reduced service when only one ear is tested. CMS classifies the code as a therapy service for its component indicator, so do not split the test into claims with modifiers 26 and TC. Document findings for each ear, including ear canal volume and measurable peak pressure and compliance, or a flat tracing if no peak is present. Use 92550 for a combined tympanometry and acoustic reflex threshold battery; 92570 includes reflex decay testing as well.
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 92567
Across 109 of 109 payment localities, the office rate for 92567 runs from $14.60 in Arkansas to $20.60 in San Benito County, CA. Alabama pays $14.76. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Alabama · this page$14.76
- Los Angeles, CA · California$17.84+$3.08
- Washington, DC area · District of Columbia$18.04+$3.28
- Miami, FL · Florida$16.91+$2.15
- Chicago, IL · Illinois$16.56+$1.80
- Manhattan, NY · New York$18.12+$3.36
- Alaska · Alaska$19.81+$5.05
Other areas in Alabama first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| ArkansasArkansas | $14.60 | $8.29 |
| ArizonaArizona | $15.70 | $8.58 |
| Bakersfield, CACalifornia | $16.89 | $8.84 |
| Chico, CACalifornia | $16.86 | $8.80 |
| El Centro, CACalifornia | $16.86 | $8.80 |
| Fresno, CACalifornia | $16.86 | $8.80 |
| Hanford, CACalifornia | $16.86 | $8.80 |
| Madera, CACalifornia | $16.86 | $8.80 |
| Merced, CACalifornia | $16.86 | $8.80 |
| Modesto, CACalifornia | $16.86 | $8.80 |
| Napa, CACalifornia | $19.16 | $9.47 |
| Oxnard, CACalifornia | $17.73 | $9.05 |
| Redding, CACalifornia | $16.86 | $8.80 |
| Rest of CaliforniaCalifornia | $16.86 | $8.80 |
| Riverside, CACalifornia | $16.97 | $8.92 |
| Sacramento, CACalifornia | $17.59 | $9.04 |
| Salinas, CACalifornia | $17.52 | $9.00 |
| San Diego, CACalifornia | $17.85 | $9.06 |
| Marin County, CACalifornia | $20.18 | $9.82 |
| San Francisco, CACalifornia | $20.17 | $9.81 |
| San Benito County, CACalifornia | $20.60 | $10.00 |
| Santa Clara County, CACalifornia | $20.55 | $9.96 |
| San Luis Obispo, CACalifornia | $17.24 | $8.87 |
| Santa Cruz, CACalifornia | $17.96 | $9.03 |
| Santa Maria, CACalifornia | $17.56 | $8.99 |
| Santa Rosa, CACalifornia | $18.13 | $9.11 |
| Stockton, CACalifornia | $16.86 | $8.80 |
| Vallejo, CACalifornia | $19.14 | $9.46 |
| Visalia, CACalifornia | $16.86 | $8.80 |
| Yuba City, CACalifornia | $16.86 | $8.80 |
| ColoradoColorado | $16.62 | $8.80 |
| ConnecticutConnecticut | $16.93 | $9.02 |
| DelawareDelaware | $15.92 | $8.66 |
| Fort Lauderdale, FLFlorida | $16.42 | $8.98 |
| Rest of FloridaFlorida | $15.80 | $8.78 |
| Atlanta, GAGeorgia | $16.26 | $8.80 |
| Rest of GeorgiaGeorgia | $15.12 | $8.57 |
| Hawaii, Guam, HIHawaii | $17.13 | $8.77 |
| IowaIowa | $15.06 | $8.34 |
| IdahoIdaho | $15.13 | $8.37 |
| East St. Louis, ILIllinois | $15.65 | $8.89 |
| Rest of IllinoisIllinois | $15.44 | $8.73 |
| Suburban Chicago, ILIllinois | $16.58 | $9.03 |
| IndianaIndiana | $15.20 | $8.39 |
| KansasKansas | $15.00 | $8.36 |
| KentuckyKentucky | $15.00 | $8.47 |
| New Orleans, LALouisiana | $15.55 | $8.63 |
| Rest of LouisianaLouisiana | $14.98 | $8.48 |
| Metropolitan Boston, MAMassachusetts | $18.02 | $9.25 |
| Rest of MassachusettsMassachusetts | $16.55 | $8.81 |
| Baltimore area, MDMaryland | $16.88 | $8.99 |
| Rest of MarylandMaryland | $16.18 | $8.74 |
| Rest of MaineMaine | $15.18 | $8.42 |
| Southern Maine, MEMaine | $15.83 | $8.55 |
| Detroit, MIMichigan | $15.95 | $8.85 |
| Rest of MichiganMichigan | $15.29 | $8.58 |
| MinnesotaMinnesota | $16.06 | $8.50 |
| Metropolitan Kansas City, MOMissouri | $15.47 | $8.57 |
| Metropolitan St. Louis, MOMissouri | $15.60 | $8.60 |
| Rest of MissouriMissouri | $14.78 | $8.45 |
| MississippiMississippi | $14.69 | $8.36 |
| MontanaMontana | $16.03 | $8.68 |
| North CarolinaNorth Carolina | $15.31 | $8.45 |
| North DakotaNorth Dakota | $15.83 | $8.49 |
| NebraskaNebraska | $15.13 | $8.35 |
| New HampshireNew Hampshire | $16.36 | $8.71 |
| Northern New JerseyNew Jersey | $17.92 | $9.40 |
| Rest of New JerseyNew Jersey | $17.16 | $9.14 |
| New MexicoNew Mexico | $15.35 | $8.61 |
| NevadaNevada | $15.99 | $8.63 |
| NYC suburbs and Long Island, NYNew York | $18.45 | $9.71 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $17.26 | $9.21 |
| Queens, NYNew York | $18.25 | $9.56 |
| Rest of New YorkNew York | $15.48 | $8.50 |
| OhioOhio | $15.25 | $8.54 |
| OklahomaOklahoma | $14.99 | $8.43 |
| Portland, OROregon | $17.05 | $8.89 |
| Rest of OregonOregon | $15.90 | $8.58 |
| Metropolitan Philadelphia, PAPennsylvania | $16.59 | $8.94 |
| Rest of PennsylvaniaPennsylvania | $15.27 | $8.53 |
| Puerto RicoPuerto Rico | $16.13 | $8.70 |
| Rhode IslandRhode Island | $16.42 | $8.83 |
| South CarolinaSouth Carolina | $15.30 | $8.51 |
| South DakotaSouth Dakota | $15.81 | $8.46 |
| TennesseeTennessee | $15.06 | $8.38 |
| Austin, TXTexas | $16.53 | $8.76 |
| Beaumont, TXTexas | $15.20 | $8.51 |
| Brazoria, TXTexas | $15.93 | $8.65 |
| Dallas, TXTexas | $16.01 | $8.69 |
| Fort Worth, TXTexas | $15.92 | $8.68 |
| Galveston, TXTexas | $15.97 | $8.67 |
| Houston, TXTexas | $16.15 | $8.85 |
| Rest of TexasTexas | $15.54 | $8.57 |
| UtahUtah | $15.46 | $8.55 |
| VirginiaVirginia | $15.78 | $8.56 |
| Virgin Islands, VIUnited States Virgin Islands | $16.13 | $8.70 |
| VermontVermont | $15.78 | $8.50 |
| Rest of WashingtonWashington | $16.52 | $8.78 |
| King County, WAWashington | $18.35 | $9.34 |
| WisconsinWisconsin | $15.42 | $8.38 |
| West VirginiaWest Virginia | $15.00 | $8.61 |
| WyomingWyoming | $15.95 | $8.60 |
92567 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.
$14.60
$19.81
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 | $19.81 | 1 |
| AL | $14.76 | 1 |
| AR | $14.60 | 1 |
| AZ | $15.70 | 1 |
| CA | $16.86–$20.60 | 29 |
| CO | $16.62 | 1 |
| CT | $16.93 | 1 |
| DC | $18.04 | 1 |
| DE | $15.92 | 1 |
| FL | $15.80–$16.91 | 3 |
| GA | $15.12–$16.26 | 2 |
| GU | $17.13 | 1 |
| HI | $17.13 | 1 |
| IA | $15.06 | 1 |
| ID | $15.13 | 1 |
| IL | $15.44–$16.58 | 4 |
| IN | $15.20 | 1 |
| KS | $15.00 | 1 |
| KY | $15.00 | 1 |
| LA | $14.98–$15.55 | 2 |
| MA | $16.55–$18.02 | 2 |
| MD | $16.18–$18.04 | 3 |
| ME | $15.18–$15.83 | 2 |
| MI | $15.29–$15.95 | 2 |
| MN | $16.06 | 1 |
| MO | $14.78–$15.60 | 3 |
| MS | $14.69 | 1 |
| MT | $16.03 | 1 |
| NC | $15.31 | 1 |
| ND | $15.83 | 1 |
| NE | $15.13 | 1 |
| NH | $16.36 | 1 |
| NJ | $17.16–$17.92 | 2 |
| NM | $15.35 | 1 |
| NV | $15.99 | 1 |
| NY | $15.48–$18.45 | 5 |
| OH | $15.25 | 1 |
| OK | $14.99 | 1 |
| OR | $15.90–$17.05 | 2 |
| PA | $15.27–$16.59 | 2 |
| PR | $16.13 | 1 |
| RI | $16.42 | 1 |
| SC | $15.30 | 1 |
| SD | $15.81 | 1 |
| TN | $15.06 | 1 |
| TX | $15.20–$16.53 | 8 |
| UT | $15.46 | 1 |
| VA | $15.78–$18.04 | 2 |
| VI | $16.13 | 1 |
| VT | $15.78 | 1 |
| WA | $16.52–$18.35 | 2 |
| WI | $15.42 | 1 |
| WV | $15.00 | 1 |
| WY | $15.95 | 1 |
How the 92567 rate is calculated
Each of 92567’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 · 92567
RVUs × geographic indexes × conversion factor
Work0.20
0.20 RVUs× 1.000 GPCI
Practice expense0.27
0.27 RVUs× 1.000 GPCI
Malpractice0.01
0.01 RVUs× 1.000 GPCI
Adjusted RVUs
0.4800
Conversion factor
$33.4009
Medicare rate
$16.03
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
11,839
- Code
- 92567
- Physician work
- 0.20
- Practice expense
- 0.27
- 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 | 0.20 | × 1.000 | 0.2000 |
| Practice expense | 0.27 | × 0.875 | 0.2363 |
| Malpractice | 0.01 | × 0.566 | 0.0057 |
| Total RVUs | 0.4419 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Alabama$14.76
Office: (0.2 × 1 + 0.27 × 0.875 + 0.01 × 0.566) × $33.4009 = $14.76
Facility: (0.2 × 1 + 0.05 × 0.875 + 0.01 × 0.566) × $33.4009 = $8.33
Payment rules and modifiers for 92567
The CMS indicators that decide how 92567 is paid alongside other services.
CMS payment indicators · 92567
Tympanometry, middle ear pressure and mobility
| 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
92567 without CQ · national office
$16.03
Tympanometry, middle ear pressure and mobility
92567-CQ · Allowed amount unchanged
$16.03
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 92567 has changed in Alabama
92567 · Office / nonfacility
$14.76
Effective 2026-10-01
The base rate is $0.52 higher than on 2025-10-01, moving from $14.24 to $14.76 (3.7%).
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
$14.24changed to$14.76
- Conversion factor 32.3465 changed to 33.4009
- 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
$14.95changed to$14.24
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 0.28 changed to 0.27
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$14.70changed to$14.95
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$15.36changed to$14.70
- Conversion factor 33.8872 changed to 32.7442
- Practice expense GPCI 0.878 changed to 0.869
- Malpractice GPCI 0.748 changed to 0.575
January 1, 2023
RVU23A
$15.84changed to$15.36
- Conversion factor 34.6062 changed to 33.8872
- 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
$15.67changed to$15.84
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 0.27 changed to 0.28
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$15.17changed to$15.67
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 0.24 changed to 0.27
- 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
$14.44changed to$15.17
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 0.22 changed to 0.24
- 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
$13.78changed to$14.44
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 0.20 changed to 0.22
Held through RVU19B, RVU19C, RVU19D.
April 1, 2018
RVU18B
No ratechanged to$13.78
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 | $14.76 | $8.33 | RVU26D |
| 2026-07-01 | $14.76 | $8.33 | RVU26C |
| 2026-04-01 | $14.76 | $8.33 | RVU26B |
| 2026-01-01 | $14.76 | $8.33 | RVU26A |
| 2025-10-01 | $14.24 | $9.75 | RVU25D |
| 2025-07-01 | $14.24 | $9.75 | RVU25C |
| 2025-04-01 | $14.24 | $9.75 | RVU25B |
| 2025-01-01 | $14.24 | $9.75 | RVU25A |
| 2024-10-01 | $14.95 | $10.03 | RVU24D |
| 2024-07-01 | $14.95 | $10.03 | RVU24C |
| 2024-04-01 | $14.95 | $10.03 | RVU24B |
| 2024-03-09 | $14.95 | $10.03 | RVU24AR |
| 2024-01-01 | $14.70 | $9.87 | RVU24A |
| 2023-10-01 | $15.36 | $10.30 | RVU23D |
| 2023-07-01 | $15.36 | $10.30 | RVU23C |
| 2023-04-01 | $15.36 | $10.30 | RVU23B |
| 2023-01-01 | $15.36 | $10.30 | RVU23A |
| 2022-10-01 | $15.84 | $10.31 | RVU22D |
| 2022-07-01 | $15.84 | $10.31 | RVU22C |
| 2022-04-01 | $15.84 | $10.31 | RVU22B |
| 2022-01-01 | $15.84 | $10.31 | RVU22A |
| 2021-10-01 | $15.67 | $10.40 | RVU21D |
| 2021-07-01 | $15.67 | $10.40 | RVU21C |
| 2021-04-01 | $15.67 | $10.40 | RVU21B |
| 2021-01-01 | $15.67 | $10.40 | RVU21A |
| 2020-10-01 | $15.17 | $10.68 | RVU20D |
| 2020-07-01 | $15.17 | $10.68 | RVU20C |
| 2020-04-01 | $15.17 | $10.68 | RVU20B |
| 2020-01-01 | $15.17 | $10.68 | RVU20A |
| 2019-10-01 | $14.44 | $10.59 | RVU19D |
| 2019-07-01 | $14.44 | $10.59 | RVU19C |
| 2019-04-01 | $14.44 | $10.59 | RVU19B |
| 2019-01-01 | $14.44 | $10.59 | RVU19A |
| 2018-10-01 | $13.78 | $10.58 | RVU18D |
| 2018-07-01 | $13.78 | $10.58 | RVU18C |
| 2018-04-01 | $13.78 | $10.58 | RVU18B |
| 2018-01-01 | Rate data unavailable | Rate data unavailable | RVU18AR1 |
| 2017-10-01 | Rate data unavailable | Rate data unavailable | RVU17D |
| 2017-07-01 | Rate data unavailable | Rate data unavailable | RVU17C |
| 2017-04-01 | Rate data unavailable | Rate data unavailable | RVU17B |
| 2017-01-01 | Rate data unavailable | Rate data unavailable | RVU17A |
| 2016-10-01 | Rate data unavailable | Rate data unavailable | RVU16D |
| 2016-07-01 | Rate data unavailable | Rate data unavailable | RVU16C |
| 2016-04-01 | Rate data unavailable | Rate data unavailable | RVU16B |
| 2016-01-01 | Rate data unavailable | Rate data unavailable | RVU16A |
| 2015-10-01 | Rate data unavailable | Rate data unavailable | RVU15D |
| 2015-07-01 | Rate data unavailable | Rate data unavailable | RVU15C |
| 2015-04-01 | Rate data unavailable | Rate data unavailable | RVU15B |
| 2015-01-01 | Rate data unavailable | Rate data unavailable | RVU15A |
| 2014-10-01 | Rate data unavailable | Rate data unavailable | RVU14D |
| 2014-07-01 | Rate data unavailable | Rate data unavailable | RVU14C |
| 2014-04-01 | Rate data unavailable | Rate data unavailable | RVU14B |
| 2014-01-01 | Rate data unavailable | Rate data unavailable | RVU14A |
| 2013-10-01 | Rate data unavailable | Rate data unavailable | RVU13D |
| 2013-07-01 | Rate data unavailable | Rate data unavailable | RVU13C |
| 2013-04-01 | Rate data unavailable | Rate data unavailable | RVU13B |
| 2013-01-01 | Rate data unavailable | Rate data unavailable | 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
92567 billing questions
Can 92567 and 92568 be billed together for a combined test?
Report 92550 rather than separate 92567 and 92568 codes when tympanometry and acoustic reflex thresholds are performed as one battery.
How is a test on only one ear reported?
Report one unit with modifier 52 for a unilateral test. Do not append modifier 50: CMS already prices 92567 as bilateral.
Can a physician bill 92567-26 for interpreting a tympanogram performed elsewhere?
No. CMS does not recognize a professional component modifier for 92567, so an interpretation alone does not support a 92567-26 claim.
Is tympanometry separately billable with comprehensive audiometry 92557?
Yes. Comprehensive audiometry does not include tympanometry, so 92567 may be reported with 92557 when both tests are performed and documented.
What documentation supports 92567?
Keep the tympanogram or recorded findings for each tested ear, including ear canal volume and any measurable peak pressure and compliance. Document a flat tracing when no peak is present and include an interpretation.
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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