CPT code 92587: Otoacoustic emissions, limited frequency assessment2026 Medicare rate & RVUs in Hawaii, Guam, HI

In Hawaii, Guam, HI, Medicare pays $23.09 for 92587 in the office.

Check a contract rate as a % of Medicare · 92587 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

What 92587 covers

This test measures otoacoustic emissions, sounds generated by the inner ear in response to an acoustic stimulus delivered through a probe in the ear canal. An audiologist commonly performs it in an office or hospital audiology department as part of a hearing evaluation, including assessment of patients who cannot provide reliable behavioral responses. The limited evaluation samples 3 to 6 frequencies and supports assessment of cochlear function; it does not provide behavioral hearing thresholds.

Report 92587 for the limited-frequency evaluation, with documentation of the clinical reason, test method, frequencies assessed, findings, and interpretation. The code includes an interpretation and report. CMS recognizes professional and technical components: report modifier 26 for the interpretation, modifier TC for equipment and staff, or neither modifier for the global service. The code is priced as bilateral, so modifier 50 does not increase payment. A broader frequency evaluation is represented by 92588.

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 Hawaii, Guam, HI compares for 92587

Across 109 of 109 payment localities, the office rate for 92587 runs from $20.35 in Arkansas to $28.22 in Alaska. Hawaii, Guam, HI pays $23.09. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

92587 rates by state

Office rate range in each state. Select a state to see its payment localities.

See 92587 in every payment locality

How the 92587 rate is calculated

Each of 92587’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.

Payment rules and modifiers for 92587

The CMS indicators that decide how 92587 is paid alongside other services.

What modifiers do to the payment

When to use modifier 26

Codes related to 92587

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

How 92587 has changed in Hawaii, Guam, HI

Price 92587 for an earlier date of service

Where the Hawaii, Guam, HI rate applies

Hawaii, Guam, HI is a Medicare payment area, not a city. Our Census mapping connects it to 163 cities and communities in Hawaii. Some span more than one payment area; confirm with the service ZIP.

• Ahuimanu
• Aiea
• Ainaloa
• Anahola
• Black Sands
• Captain Cook
• Discovery Harbour
• East Honolulu

Browse all communities in Hawaii

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

Open CMS sourceHow we calculate rates