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.

CMS RVU26DEffective Oct 1, 2026One payment locality990.7K Medicare services in 2024

In Alabama, Medicare pays $14.76 for 92567 in the office and $8.33 when it’s performed in a hospital or facility.

$14.76Office (non-facility)
$8.33Hospital or facility
−7.9%vs the national office rate ($16.03)

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.

We’ll open 92567 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Alabama
  2. What 92567 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 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.

92567 in Alabama vs other payment areas
  1. Alabama · this page$14.76
  2. Los Angeles, CA · California$17.84+$3.08
  3. Washington, DC area · District of Columbia$18.04+$3.28
  4. Miami, FL · Florida$16.91+$2.15
  5. Chicago, IL · Illinois$16.56+$1.80
  6. Manhattan, NY · New York$18.12+$3.36
  7. Alaska · Alaska$19.81+$5.05

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

Every other payment area

92567 in every other Medicare payment locality
Payment localityOfficeFacility
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

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
92567 office rate range by state
State / territoryOffice rate rangeLocalities
AK$19.811
AL$14.761
AR$14.601
AZ$15.701
CA$16.86–$20.6029
CO$16.621
CT$16.931
DC$18.041
DE$15.921
FL$15.80–$16.913
GA$15.12–$16.262
GU$17.131
HI$17.131
IA$15.061
ID$15.131
IL$15.44–$16.584
IN$15.201
KS$15.001
KY$15.001
LA$14.98–$15.552
MA$16.55–$18.022
MD$16.18–$18.043
ME$15.18–$15.832
MI$15.29–$15.952
MN$16.061
MO$14.78–$15.603
MS$14.691
MT$16.031
NC$15.311
ND$15.831
NE$15.131
NH$16.361
NJ$17.16–$17.922
NM$15.351
NV$15.991
NY$15.48–$18.455
OH$15.251
OK$14.991
OR$15.90–$17.052
PA$15.27–$16.592
PR$16.131
RI$16.421
SC$15.301
SD$15.811
TN$15.061
TX$15.20–$16.538
UT$15.461
VA$15.78–$18.042
VI$16.131
VT$15.781
WA$16.52–$18.352
WI$15.421
WV$15.001
WY$15.951

See 92567 in every payment locality

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

Office or facility?

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
Office calculation for 92567 in Alabama
ComponentRVULocality factorAdjusted
Physician work0.20× 1.0000.2000
Practice expense0.27× 0.8750.2363
Malpractice0.01× 0.5660.0057
Total RVUs0.4419
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

Open 92567 in the RVU calculator

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

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

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.

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

    $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.

  2. 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.

  3. March 9, 2024

    RVU24AR

    $14.70changed to$14.95

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. 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
  5. 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.

  6. 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.

  7. 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.

  8. 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.

  9. 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.

  10. April 1, 2018

    RVU18B

    No ratechanged to$13.78

    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$14.76$8.33RVU26D
2026-07-01$14.76$8.33RVU26C
2026-04-01$14.76$8.33RVU26B
2026-01-01$14.76$8.33RVU26A
2025-10-01$14.24$9.75RVU25D
2025-07-01$14.24$9.75RVU25C
2025-04-01$14.24$9.75RVU25B
2025-01-01$14.24$9.75RVU25A
2024-10-01$14.95$10.03RVU24D
2024-07-01$14.95$10.03RVU24C
2024-04-01$14.95$10.03RVU24B
2024-03-09$14.95$10.03RVU24AR
2024-01-01$14.70$9.87RVU24A
2023-10-01$15.36$10.30RVU23D
2023-07-01$15.36$10.30RVU23C
2023-04-01$15.36$10.30RVU23B
2023-01-01$15.36$10.30RVU23A
2022-10-01$15.84$10.31RVU22D
2022-07-01$15.84$10.31RVU22C
2022-04-01$15.84$10.31RVU22B
2022-01-01$15.84$10.31RVU22A
2021-10-01$15.67$10.40RVU21D
2021-07-01$15.67$10.40RVU21C
2021-04-01$15.67$10.40RVU21B
2021-01-01$15.67$10.40RVU21A
2020-10-01$15.17$10.68RVU20D
2020-07-01$15.17$10.68RVU20C
2020-04-01$15.17$10.68RVU20B
2020-01-01$15.17$10.68RVU20A
2019-10-01$14.44$10.59RVU19D
2019-07-01$14.44$10.59RVU19C
2019-04-01$14.44$10.59RVU19B
2019-01-01$14.44$10.59RVU19A
2018-10-01$13.78$10.58RVU18D
2018-07-01$13.78$10.58RVU18C
2018-04-01$13.78$10.58RVU18B
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 92567 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

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
RVUs for 92567PPRRVU2026_Oct_nonQPP.csv, line 11,839 (RVU26D)
Geographic factors for AlabamaGPCI2026.csv, line 4 (RVU26D)

Open CMS sourceHow we calculate rates

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