CPT code 92611: Swallow study, fluoroscopic evaluation2026 Medicare rate & RVUs in Alabama
A speech-language pathologist evaluates swallowing during recorded fluoroscopy to assess bolus movement and identify problems such as penetration or aspiration.
In Alabama, Medicare pays $85.03 for 92611 in the office.
Check a contract rate as a % of Medicare · 92611 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 92611 covers
A videofluoroscopic swallowing evaluation uses moving X-ray images to examine how a patient handles food and liquid boluses. A speech-language pathologist observes and records swallowing, commonly in a radiology suite with a radiologist involved in the imaging service. The study can show oral and pharyngeal bolus movement and help identify penetration, aspiration, or swallowing strategies that improve safety. Barium-containing consistencies are used so the bolus can be seen on fluoroscopy.
Report 92611 for the speech-language pathologist’s fluoroscopic swallowing evaluation, rather than a bedside clinical assessment or an endoscopic examination. Documentation should support the need for instrumental assessment and describe the tested consistencies, observed swallowing findings, and resulting recommendations. CMS classifies this as a therapy service, so the professional component modifier is not used with 92611. The radiologist’s distinct radiologic service may be reported with 74230 when performed and documented; that code does not replace the speech-language pathologist’s evaluation.
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 92611
Across 109 of 109 payment localities, the office rate for 92611 runs from $84.21 in Arkansas to $115.93 in San Benito County, CA. Alabama pays $85.03. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Alabama · this page$85.03
- Los Angeles, CA · California$101.19+$16.16
- Washington, DC area · District of Columbia$102.27+$17.24
- Miami, FL · Florida$95.96+$10.93
- Chicago, IL · Illinois$94.22+$9.19
- Manhattan, NY · New York$102.76+$17.73
- Alaska · Alaska$115.64+$30.61
Other areas in Alabama first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| ArkansasArkansas | $84.21 | — |
| ArizonaArizona | $89.85 | — |
| Bakersfield, CACalifornia | $96.12 | — |
| Chico, CACalifornia | $95.91 | — |
| El Centro, CACalifornia | $95.92 | — |
| Fresno, CACalifornia | $95.91 | — |
| Hanford, CACalifornia | $95.91 | — |
| Madera, CACalifornia | $95.91 | — |
| Merced, CACalifornia | $95.91 | — |
| Modesto, CACalifornia | $95.91 | — |
| Napa, CACalifornia | $108.11 | — |
| Oxnard, CACalifornia | $100.50 | — |
| Redding, CACalifornia | $95.91 | — |
| Rest of CaliforniaCalifornia | $95.91 | — |
| Riverside, CACalifornia | $96.49 | — |
| Sacramento, CACalifornia | $99.83 | — |
| Salinas, CACalifornia | $99.43 | — |
| San Diego, CACalifornia | $101.10 | — |
| Marin County, CACalifornia | $113.67 | — |
| San Francisco, CACalifornia | $113.61 | — |
| San Benito County, CACalifornia | $115.93 | — |
| Santa Clara County, CACalifornia | $115.70 | — |
| San Luis Obispo, CACalifornia | $97.89 | — |
| Santa Cruz, CACalifornia | $101.57 | — |
| Santa Maria, CACalifornia | $99.62 | — |
| Santa Rosa, CACalifornia | $102.57 | — |
| Stockton, CACalifornia | $95.91 | — |
| Vallejo, CACalifornia | $108.03 | — |
| Visalia, CACalifornia | $95.91 | — |
| Yuba City, CACalifornia | $95.91 | — |
| ColoradoColorado | $94.63 | — |
| ConnecticutConnecticut | $96.29 | — |
| DelawareDelaware | $91.02 | — |
| Fort Lauderdale, FLFlorida | $93.47 | — |
| Rest of FloridaFlorida | $90.33 | — |
| Atlanta, GAGeorgia | $92.72 | — |
| Rest of GeorgiaGeorgia | $86.86 | — |
| Hawaii, Guam, HIHawaii | $97.13 | — |
| IowaIowa | $86.59 | — |
| IdahoIdaho | $86.95 | — |
| East St. Louis, ILIllinois | $89.52 | — |
| Rest of IllinoisIllinois | $88.45 | — |
| Suburban Chicago, ILIllinois | $94.36 | — |
| IndianaIndiana | $87.30 | — |
| KansasKansas | $86.27 | — |
| KentuckyKentucky | $86.26 | — |
| New Orleans, LALouisiana | $89.03 | — |
| Rest of LouisianaLouisiana | $86.15 | — |
| Metropolitan Boston, MAMassachusetts | $102.07 | — |
| Rest of MassachusettsMassachusetts | $94.32 | — |
| Baltimore area, MDMaryland | $95.98 | — |
| Rest of MarylandMaryland | $92.37 | — |
| Rest of MaineMaine | $87.20 | — |
| Southern Maine, MEMaine | $90.49 | — |
| Detroit, MIMichigan | $91.05 | — |
| Rest of MichiganMichigan | $87.72 | — |
| MinnesotaMinnesota | $91.68 | — |
| Metropolitan Kansas City, MOMissouri | $88.67 | — |
| Metropolitan St. Louis, MOMissouri | $89.31 | — |
| Rest of MissouriMissouri | $85.11 | — |
| MississippiMississippi | $84.68 | — |
| MontanaMontana | $91.52 | — |
| North CarolinaNorth Carolina | $87.83 | — |
| North DakotaNorth Dakota | $90.53 | — |
| NebraskaNebraska | $86.93 | — |
| New HampshireNew Hampshire | $93.20 | — |
| Northern New JerseyNew Jersey | $101.76 | — |
| Rest of New JerseyNew Jersey | $97.67 | — |
| New MexicoNew Mexico | $88.03 | — |
| NevadaNevada | $91.29 | — |
| NYC suburbs and Long Island, NYNew York | $104.46 | — |
| Poughkeepsie and northern NYC suburbs, NYNew York | $98.22 | — |
| Queens, NYNew York | $103.45 | — |
| Rest of New YorkNew York | $88.72 | — |
| OhioOhio | $87.52 | — |
| OklahomaOklahoma | $86.21 | — |
| Portland, OROregon | $96.91 | — |
| Rest of OregonOregon | $90.84 | — |
| Metropolitan Philadelphia, PAPennsylvania | $94.52 | — |
| Rest of PennsylvaniaPennsylvania | $87.65 | — |
| Puerto RicoPuerto Rico | $92.00 | — |
| Rhode IslandRhode Island | $93.69 | — |
| South CarolinaSouth Carolina | $87.76 | — |
| South DakotaSouth Dakota | $90.41 | — |
| TennesseeTennessee | $86.55 | — |
| Austin, TXTexas | $94.09 | — |
| Beaumont, TXTexas | $87.25 | — |
| Brazoria, TXTexas | $91.09 | — |
| Dallas, TXTexas | $91.49 | — |
| Fort Worth, TXTexas | $91.05 | — |
| Galveston, TXTexas | $91.26 | — |
| Houston, TXTexas | $92.17 | — |
| Rest of TexasTexas | $89.01 | — |
| UtahUtah | $88.58 | — |
| VirginiaVirginia | $90.24 | — |
| Virgin Islands, VIUnited States Virgin Islands | $92.00 | — |
| VermontVermont | $90.23 | — |
| Rest of WashingtonWashington | $94.13 | — |
| King County, WAWashington | $103.86 | — |
| WisconsinWisconsin | $88.43 | — |
| West VirginiaWest Virginia | $86.20 | — |
| WyomingWyoming | $91.08 | — |
92611 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.
$84.21
$115.64
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 | $115.64 | 1 |
| AL | $85.03 | 1 |
| AR | $84.21 | 1 |
| AZ | $89.85 | 1 |
| CA | $95.91–$115.93 | 29 |
| CO | $94.63 | 1 |
| CT | $96.29 | 1 |
| DC | $102.27 | 1 |
| DE | $91.02 | 1 |
| FL | $90.33–$95.96 | 3 |
| GA | $86.86–$92.72 | 2 |
| GU | $97.13 | 1 |
| HI | $97.13 | 1 |
| IA | $86.59 | 1 |
| ID | $86.95 | 1 |
| IL | $88.45–$94.36 | 4 |
| IN | $87.30 | 1 |
| KS | $86.27 | 1 |
| KY | $86.26 | 1 |
| LA | $86.15–$89.03 | 2 |
| MA | $94.32–$102.07 | 2 |
| MD | $92.37–$102.27 | 3 |
| ME | $87.20–$90.49 | 2 |
| MI | $87.72–$91.05 | 2 |
| MN | $91.68 | 1 |
| MO | $85.11–$89.31 | 3 |
| MS | $84.68 | 1 |
| MT | $91.52 | 1 |
| NC | $87.83 | 1 |
| ND | $90.53 | 1 |
| NE | $86.93 | 1 |
| NH | $93.20 | 1 |
| NJ | $97.67–$101.76 | 2 |
| NM | $88.03 | 1 |
| NV | $91.29 | 1 |
| NY | $88.72–$104.46 | 5 |
| OH | $87.52 | 1 |
| OK | $86.21 | 1 |
| OR | $90.84–$96.91 | 2 |
| PA | $87.65–$94.52 | 2 |
| PR | $92.00 | 1 |
| RI | $93.69 | 1 |
| SC | $87.76 | 1 |
| SD | $90.41 | 1 |
| TN | $86.55 | 1 |
| TX | $87.25–$94.09 | 8 |
| UT | $88.58 | 1 |
| VA | $90.24–$102.27 | 2 |
| VI | $92.00 | 1 |
| VT | $90.23 | 1 |
| WA | $94.13–$103.86 | 2 |
| WI | $88.43 | 1 |
| WV | $86.20 | 1 |
| WY | $91.08 | 1 |
How the 92611 rate is calculated
Each of 92611’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 · 92611
RVUs × geographic indexes × conversion factor
Work1.31
1.31 RVUs× 1.000 GPCI
Practice expense1.38
1.38 RVUs× 1.000 GPCI
Malpractice0.05
0.05 RVUs× 1.000 GPCI
Adjusted RVUs
2.7400
Conversion factor
$33.4009
Medicare rate
$91.52
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
11,869
- Code
- 92611
- Physician work
- 1.31
- Practice expense
- 1.38
- Malpractice
- 0.05
GPCI2026.csv
4
- Locality
- Alabama
- Physician work
- 1.000
- Practice expense
- 0.875
- Malpractice
- 0.566
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.31 | × 1.000 | 1.3100 |
| Practice expense | 1.38 | × 0.875 | 1.2075 |
| Malpractice | 0.05 | × 0.566 | 0.0283 |
| Total RVUs | 2.5458 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Alabama$85.03
Office: (1.31 × 1 + 1.38 × 0.875 + 0.05 × 0.566) × $33.4009 = $85.03
Payment rules and modifiers for 92611
The CMS indicators that decide how 92611 is paid alongside other services.
CMS payment indicators · 92611
Swallow study, fluoroscopic evaluation
| 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) | 0 | The 150% bilateral adjustment doesn’t apply. |
| 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
92611 without CQ · national office
$91.52
Swallow study, fluoroscopic evaluation
92611-CQ · Allowed amount unchanged
$91.52
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 92611 has changed in Alabama
92611 · Office / nonfacility
$85.03
Effective 2026-10-01
The base rate is $2.53 higher than on 2025-10-01, moving from $82.50 to $85.03 (3.1%).
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
$82.50changed to$85.03
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 1.34 changed to 1.31
- Practice expense RVU 1.36 changed to 1.38
- 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
$85.00changed to$82.50
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 1.35 changed to 1.36
- Malpractice RVU 0.07 changed to 0.05
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$83.61changed to$85.00
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$86.41changed to$83.61
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 1.31 changed to 1.35
- Malpractice RVU 0.08 changed to 0.07
- Practice expense GPCI 0.878 changed to 0.869
- Malpractice GPCI 0.748 changed to 0.575
January 1, 2023
RVU23A
$88.58changed to$86.41
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 1.28 changed to 1.31
- Malpractice RVU 0.09 changed to 0.08
- 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
$88.69changed to$88.58
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 1.26 changed to 1.28
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$88.84changed to$88.69
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 1.19 changed to 1.26
- 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
$85.96changed to$88.84
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 1.13 changed to 1.19
- Malpractice RVU 0.08 changed to 0.09
- 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
$83.62changed to$85.96
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 1.06 changed to 1.13
Held through RVU19B, RVU19C, RVU19D.
April 1, 2018
RVU18B
No ratechanged to$83.62
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 | $85.03 | Not available in this setting | RVU26D |
| 2026-07-01 | $85.03 | Not available in this setting | RVU26C |
| 2026-04-01 | $85.03 | Not available in this setting | RVU26B |
| 2026-01-01 | $85.03 | Not available in this setting | RVU26A |
| 2025-10-01 | $82.50 | Not available in this setting | RVU25D |
| 2025-07-01 | $82.50 | Not available in this setting | RVU25C |
| 2025-04-01 | $82.50 | Not available in this setting | RVU25B |
| 2025-01-01 | $82.50 | Not available in this setting | RVU25A |
| 2024-10-01 | $85.00 | Not available in this setting | RVU24D |
| 2024-07-01 | $85.00 | Not available in this setting | RVU24C |
| 2024-04-01 | $85.00 | Not available in this setting | RVU24B |
| 2024-03-09 | $85.00 | Not available in this setting | RVU24AR |
| 2024-01-01 | $83.61 | Not available in this setting | RVU24A |
| 2023-10-01 | $86.41 | Not available in this setting | RVU23D |
| 2023-07-01 | $86.41 | Not available in this setting | RVU23C |
| 2023-04-01 | $86.41 | Not available in this setting | RVU23B |
| 2023-01-01 | $86.41 | Not available in this setting | RVU23A |
| 2022-10-01 | $88.58 | Not available in this setting | RVU22D |
| 2022-07-01 | $88.58 | Not available in this setting | RVU22C |
| 2022-04-01 | $88.58 | Not available in this setting | RVU22B |
| 2022-01-01 | $88.58 | Not available in this setting | RVU22A |
| 2021-10-01 | $88.69 | Not available in this setting | RVU21D |
| 2021-07-01 | $88.69 | Not available in this setting | RVU21C |
| 2021-04-01 | $88.69 | Not available in this setting | RVU21B |
| 2021-01-01 | $88.69 | Not available in this setting | RVU21A |
| 2020-10-01 | $88.84 | Not available in this setting | RVU20D |
| 2020-07-01 | $88.84 | Not available in this setting | RVU20C |
| 2020-04-01 | $88.84 | Not available in this setting | RVU20B |
| 2020-01-01 | $88.84 | Not available in this setting | RVU20A |
| 2019-10-01 | $85.96 | Not available in this setting | RVU19D |
| 2019-07-01 | $85.96 | Not available in this setting | RVU19C |
| 2019-04-01 | $85.96 | Not available in this setting | RVU19B |
| 2019-01-01 | $85.96 | Not available in this setting | RVU19A |
| 2018-10-01 | $83.62 | Not available in this setting | RVU18D |
| 2018-07-01 | $83.62 | Not available in this setting | RVU18C |
| 2018-04-01 | $83.62 | Not available in this setting | RVU18B |
| 2018-01-01 | Rate data unavailable | Not available in this setting | RVU18AR1 |
| 2017-10-01 | Rate data unavailable | Not available in this setting | RVU17D |
| 2017-07-01 | Rate data unavailable | Not available in this setting | RVU17C |
| 2017-04-01 | Rate data unavailable | Not available in this setting | RVU17B |
| 2017-01-01 | Rate data unavailable | Not available in this setting | RVU17A |
| 2016-10-01 | Rate data unavailable | Not available in this setting | RVU16D |
| 2016-07-01 | Rate data unavailable | Not available in this setting | RVU16C |
| 2016-04-01 | Rate data unavailable | Not available in this setting | RVU16B |
| 2016-01-01 | Rate data unavailable | Not available in this setting | RVU16A |
| 2015-10-01 | Rate data unavailable | Not available in this setting | RVU15D |
| 2015-07-01 | Rate data unavailable | Not available in this setting | RVU15C |
| 2015-04-01 | Rate data unavailable | Not available in this setting | RVU15B |
| 2015-01-01 | Rate data unavailable | Not available in this setting | RVU15A |
| 2014-10-01 | Rate data unavailable | Not available in this setting | RVU14D |
| 2014-07-01 | Rate data unavailable | Not available in this setting | RVU14C |
| 2014-04-01 | Rate data unavailable | Not available in this setting | RVU14B |
| 2014-01-01 | Rate data unavailable | Not available in this setting | RVU14A |
| 2013-10-01 | Rate data unavailable | Not available in this setting | RVU13D |
| 2013-07-01 | Rate data unavailable | Not available in this setting | RVU13C |
| 2013-04-01 | Rate data unavailable | Not available in this setting | RVU13B |
| 2013-01-01 | Rate data unavailable | Not available in this setting | 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
92611 billing questions
How is 92611 different from 92610?
92611 describes a swallowing evaluation performed with fluoroscopic imaging and recording. 92610 is a clinical swallowing-function evaluation without that fluoroscopic study.
Can 92611 be reported with 74230?
They represent distinct services: the speech-language pathologist’s swallowing evaluation and the radiologic swallowing examination. Both may be reported when each service is performed and documented.
Should modifier 26 be appended to 92611?
No. CMS identifies 92611 as a therapy service for which the professional component modifier does not apply.
How does 92611 differ from 92612?
92611 uses fluoroscopy to observe swallowing. 92612 describes an endoscopic swallowing evaluation, using a different examination method.
What documentation supports 92611?
Document why instrumental assessment was needed, the consistencies tested, fluoroscopic swallowing observations, and the clinical recommendations based on the study.
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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