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CPT code 92570: Immittance testing, tympanometry and reflex measures2026 Medicare rate & RVUs in Delaware

Reports a comprehensive middle-ear test battery combining tympanometry with acoustic reflex measurements when evaluating hearing or middle-ear disorders.

CMS RVU26DEffective Oct 1, 2026One payment locality27.3K Medicare services in 2024

In Delaware, Medicare pays $31.30 for 92570 in the office and $23.71 when it’s performed in a hospital or facility.

$31.30Office (non-facility)
$23.71Hospital or facility
−0.3%vs the national office rate ($31.40)

Check a contract rate as a % of Medicare · 92570 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 92570 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Delaware
  2. What 92570 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 92570 covers

An audiologist or other qualified hearing professional uses acoustic immittance testing to assess eardrum and middle-ear mobility and measure acoustic reflex responses. The battery includes tympanometry, reflex threshold testing, and reflex decay testing. It is commonly performed in audiology and otolaryngology settings when evaluating conductive hearing loss, middle-ear fluid or pressure problems, or other abnormal hearing findings.

Report 92570 when the documented service includes the comprehensive immittance battery, rather than only one of its component test types. Retain the test results and clinical rationale showing which measurements were performed. CMS treats this as a service without a separately billable professional component, so modifier 26 does not apply. The code is priced as bilateral; modifier 50 does not increase payment.

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 Delaware compares for 92570

Across 109 of 109 payment localities, the office rate for 92570 runs from $29.45 in Arkansas to $41.26 in Alaska. Delaware pays $31.30. The RVUs are the same everywhere; the geographic indexes change the dollars.

92570 in Delaware vs other payment areas
  1. Delaware · this page$31.30
  2. Los Angeles, CA · California$34.36+$3.06
  3. Washington, DC area · District of Columbia$34.69+$3.39
  4. Miami, FL · Florida$32.43+$1.13
  5. Chicago, IL · Illinois$32.02+$0.72
  6. Manhattan, NY · New York$34.82+$3.52
  7. Alaska · Alaska$41.26+$9.96

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

Every other payment area

92570 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$29.67$22.94
ArkansasArkansas$29.45$22.85
ArizonaArizona$30.96$23.51
Bakersfield, CACalifornia$32.83$24.41
Chico, CACalifornia$32.77$24.35
El Centro, CACalifornia$32.77$24.35
Fresno, CACalifornia$32.77$24.35
Hanford, CACalifornia$32.77$24.35

92570 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.

$29.45

$41.26

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

View every state and territory as a table
92570 office rate range by state
State / territoryOffice rate rangeLocalities
AK$41.261
AL$29.671
AR$29.451
AZ$30.961
CA$32.77–$38.8729
CO$32.361
CT$32.811
DC$34.691
DE$31.301
FL$31.01–$32.433
GA$30.09–$31.722
GU$33.001
HI$33.001
IA$30.121
ID$30.211
IL$30.48–$32.134
IN$30.301
KS$30.011
KY$29.961
LA$29.92–$30.692
MA$32.30–$34.582
MD$31.71–$34.693
ME$30.26–$31.162
MI$30.34–$31.182
MN$31.531
MO$29.64–$30.793
MS$29.551
MT$31.401
NC$30.431
ND$31.201
NE$30.211
NH$31.881
NJ$33.33–$34.612
NM$30.411
NV$31.351
NY$30.66–$35.265
OH$30.301
OK$29.961
OR$31.25–$33.012
PA$30.34–$32.312
PR$31.531
RI$32.131
SC$30.381
SD$31.181
TN$30.091
TX$30.23–$32.138
UT$30.601
VA$31.08–$34.692
VI$31.531
VT$31.101
WA$32.23–$35.142
WI$30.631
WV$29.881
WY$31.311

See 92570 in every payment locality

How the 92570 rate is calculated

Each of 92570’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 · 92570

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.55

0.55 RVUs× 1.000 GPCI

Practice expense0.38

0.38 RVUs× 1.000 GPCI

Malpractice0.01

0.01 RVUs× 1.000 GPCI

Adjusted RVUs

0.9400

Conversion factor

$33.4009

Medicare rate

$31.40

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Delaware inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

11,841

Code
92570
Physician work
0.55
Practice expense
0.38
Malpractice
0.01

GPCI2026.csv

40

Locality
Delaware
Physician work
1.005
Practice expense
0.988
Malpractice
0.899
Office calculation for 92570 in Delaware
ComponentRVULocality factorAdjusted
Physician work0.55× 1.0050.5527
Practice expense0.38× 0.9880.3754
Malpractice0.01× 0.8990.0090
Total RVUs0.9372
Conversion factor× 33.4009

Office rate, Delaware$31.30

Office: (0.55 × 1.005 + 0.38 × 0.988 + 0.01 × 0.899) × $33.4009 = $31.30

Facility: (0.55 × 1.005 + 0.15 × 0.988 + 0.01 × 0.899) × $33.4009 = $23.71

Open 92570 in the RVU calculator

Payment rules and modifiers for 92570

The CMS indicators that decide how 92570 is paid alongside other services.

CMS payment indicators · 92570

Immittance testing, tympanometry and reflex measures

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

92570 without CQ · national office

$31.40

Immittance testing, tympanometry and reflex measures

92570-CQ · Allowed amount unchanged

$31.40

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 92570

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

Codes related to 92570
CodeHow it relatesOffice range, Delaware
Used instead
92550Middle-ear testing, tympanometry and reflex thresholdsCovers tympanometry and reflex thresholds when the broader 92570 battery is not performed.$21.62
92567Tympanometry, middle ear pressure and mobilityUse for tympanometry alone rather than the comprehensive immittance battery.$15.92
92568Acoustic reflex, threshold measurementReports acoustic reflex threshold testing when that measurement is performed without the full battery.$15.31
Often billed with
92557Comprehensive hearing test, air, bone, and speech testingComprehensive audiometry may accompany immittance testing during an audiologic evaluation.$35.62

How 92570 has changed in Delaware

92570 · Office / nonfacility

$31.30

Effective 2026-10-01

The base rate is $0.22 higher than on 2025-10-01, moving from $31.08 to $31.30 (0.7%).

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

    $31.08changed to$31.30

    • Conversion factor 32.3465 changed to 33.4009
    • Practice expense RVU 0.39 changed to 0.38
    • Malpractice RVU 0.02 changed to 0.01
    • Work GPCI 1.009 changed to 1.005
    • Practice expense GPCI 0.992 changed to 0.988
    • Malpractice GPCI 0.949 changed to 0.899

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $31.98changed to$31.08

    • Conversion factor 33.2875 changed to 32.3465

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $31.46changed to$31.98

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $32.71changed to$31.46

    • Conversion factor 33.8872 changed to 32.7442
    • Work GPCI 1.007 changed to 1.009
    • Practice expense GPCI 1.007 changed to 0.992
    • Malpractice GPCI 0.938 changed to 0.949

  5. January 1, 2023

    RVU23A

    $33.85changed to$32.71

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 0.38 changed to 0.39
    • Malpractice RVU 0.04 changed to 0.02
    • Work GPCI 1.005 changed to 1.007
    • Practice expense GPCI 1.022 changed to 1.007
    • Malpractice GPCI 0.927 changed to 0.938

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $34.13changed to$33.85

    • Conversion factor 34.8931 changed to 34.6062

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $34.34changed to$34.13

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 0.36 changed to 0.38
    • Malpractice RVU 0.03 changed to 0.04
    • Work GPCI 1.006 changed to 1.005
    • Practice expense GPCI 1.021 changed to 1.022
    • Malpractice GPCI 1.023 changed to 0.927

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $33.66changed to$34.34

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 0.34 changed to 0.36
    • Work GPCI 1.007 changed to 1.006
    • Practice expense GPCI 1.019 changed to 1.021
    • Malpractice GPCI 1.119 changed to 1.023

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $33.25changed to$33.66

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 0.33 changed to 0.34

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $33.26changed to$33.25

    • Conversion factor 35.8887 changed to 35.9996
    • Work GPCI 1.010 changed to 1.007
    • Practice expense GPCI 1.025 changed to 1.019
    • Malpractice GPCI 1.101 changed to 1.119

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $33.27changed to$33.26

    • Conversion factor 35.8043 changed to 35.8887
    • Work GPCI 1.012 changed to 1.010
    • Practice expense GPCI 1.031 changed to 1.025
    • Malpractice GPCI 1.083 changed to 1.101

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $33.00changed to$33.27

    • 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

    $32.84changed to$33.00

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $33.15changed to$32.84

    • Conversion factor 35.8228 changed to 35.7547
    • Malpractice RVU 0.03 changed to 0.02
    • Practice expense GPCI 1.038 changed to 1.031
    • Malpractice GPCI 0.878 changed to 1.083

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $32.41changed to$33.15

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 0.36 changed to 0.33
    • Practice expense GPCI 1.044 changed to 1.038
    • Malpractice GPCI 0.672 changed to 0.878

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $32.41

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$31.30$23.71RVU26D
2026-07-01$31.30$23.71RVU26C
2026-04-01$31.30$23.71RVU26B
2026-01-01$31.30$23.71RVU26A
2025-10-01$31.08$27.87RVU25D
2025-07-01$31.08$27.87RVU25C
2025-04-01$31.08$27.87RVU25B
2025-01-01$31.08$27.87RVU25A
2024-10-01$31.98$28.68RVU24D
2024-07-01$31.98$28.68RVU24C
2024-04-01$31.98$28.68RVU24B
2024-03-09$31.98$28.68RVU24AR
2024-01-01$31.46$28.21RVU24A
2023-10-01$32.71$29.30RVU23D
2023-07-01$32.71$29.30RVU23C
2023-04-01$32.71$29.30RVU23B
2023-01-01$32.71$29.30RVU23A
2022-10-01$33.85$30.31RVU22D
2022-07-01$33.85$30.31RVU22C
2022-04-01$33.85$30.31RVU22B
2022-01-01$33.85$30.31RVU22A
2021-10-01$34.13$30.57RVU21D
2021-07-01$34.13$30.57RVU21C
2021-04-01$34.13$30.57RVU21B
2021-01-01$34.13$30.57RVU21A
2020-10-01$34.34$31.02RVU20D
2020-07-01$34.34$31.02RVU20C
2020-04-01$34.34$31.02RVU20B
2020-01-01$34.34$31.02RVU20A
2019-10-01$33.66$31.09RVU19D
2019-07-01$33.66$31.09RVU19C
2019-04-01$33.66$31.09RVU19B
2019-01-01$33.66$31.09RVU19A
2018-10-01$33.25$31.05RVU18D
2018-07-01$33.25$31.05RVU18C
2018-04-01$33.25$31.05RVU18B
2018-01-01$33.25$31.05RVU18AR1
2017-10-01$33.26$31.05RVU17D
2017-07-01$33.26$31.05RVU17C
2017-04-01$33.26$31.05RVU17B
2017-01-01$33.26$31.05RVU17A
2016-10-01$33.27$31.06RVU16D
2016-07-01$33.27$31.06RVU16C
2016-04-01$33.27$31.06RVU16B
2016-01-01$33.27$31.06RVU16A
2015-10-01$33.00$30.78RVU15D
2015-07-01$33.00$30.78RVU15C
2015-04-01$32.84$30.63RVU15B
2015-01-01$32.84$30.63RVU15A
2014-10-01$33.15$30.92RVU14D
2014-07-01$33.15$30.92RVU14C
2014-04-01$33.15$30.92RVU14B
2014-01-01$33.15$30.92RVU14A
2013-10-01$32.41$29.92RVU13D
2013-07-01$32.41$29.92RVU13C
2013-04-01$32.41$29.92RVU13B
2013-01-01$32.41$29.92RVU13AR

Price 92570 for an earlier date of service

Where the Delaware rate applies

Delaware is a Medicare payment area, not a city. Our Census mapping connects it to 79 cities and communities in Delaware. Some span more than one payment area; confirm with the service ZIP.

  • Arden
  • Ardencroft
  • Ardentown
  • Bear
  • Bellefonte
  • Bethany Beach
  • Bethel
  • Blades

Browse all communities in Delaware

92570 billing questions

When should 92570 be selected instead of 92567?

Use 92570 for the comprehensive immittance battery, including tympanometry and acoustic reflex measurements. Use 92567 when the service is tympanometry alone.

How does 92570 differ from 92550?

92570 represents the broader battery, including reflex decay testing. 92550 covers tympanometry with acoustic reflex threshold measurements.

Can the component measurements also be billed separately?

The measurements are included in the comprehensive service represented by 92570. Do not separately report a component test for work already included in the battery.

Should modifier 50 be appended for testing both ears?

No. CMS prices 92570 as bilateral, and modifier 50 does not increase payment.

Can modifier 26 be used for the interpretation?

No. CMS identifies this as a service for which the professional component modifier does not apply.

What documentation supports reporting 92570?

Document the clinical reason for testing and the tympanometry and acoustic reflex measurements performed, with the resulting findings.

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 92570PPRRVU2026_Oct_nonQPP.csv, line 11,841 (RVU26D)
Geographic factors for DelawareGPCI2026.csv, line 40 (RVU26D)

Open CMS sourceHow we calculate rates

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