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Billing code 92508: Speech therapyMedicare rate & RVUs

Report 92508 for skilled speech-language treatment delivered to multiple patients together, rather than individual treatment for one patient.

CMS RVU26DEffective Oct 1, 2026109 payment localities6.9K Medicare services in 2024

Medicare pays $24.05 for 92508 nationally in the office. Local office rates run $22.10–$30.72.

Medicare rate · 92508

Speech therapy

Swap in your local Medicare rate.

Work RVUs
0.33
Total RVUs
0.72
Global days
XXX

National rate · 2026

$24.05

Office setting, before claim adjustments.

See every locality for 92508 → · Billed by an NP, PA or therapist? →

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 10 sections
  1. Medicare rate
  2. What 92508 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What 92508 covers

A speech-language pathologist typically uses this service to treat multiple patients in a shared session, working on communication, speech, language, voice, or auditory-processing goals. Group activities may include structured conversation or practice of communication strategies, with skilled direction tailored to each participant. Services are commonly provided in outpatient therapy settings and hospital departments.

Report the group service for each patient who receives it, and document the group format, skilled interventions, individualized goals, and each patient’s participation and response. Choose individual treatment code 92507 when the clinician treats one patient at a time. This is a therapy service, not a separately billed professional component; the professional component modifier does not apply. CMS reduces the practice-expense portion for the second and subsequent therapy units on the same day.

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.

Where 92508 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 payment localities

$22.10 to $30.72

$22.10$26.41$30.72
One dot per payment locality, office / nonfacility. Hover a dot to see the locality; select it to open that rate.

109 of 109 payment localities

92508 office and facility rates by payment locality
Payment localityOfficeFacility
Alabama$22.32Unavailable
Alaska*$30.23Unavailable
Arizona$23.61Unavailable
Arkansas$22.10Unavailable
Atlanta$24.35Unavailable
Austin$24.77Unavailable
Bakersfield$25.35Unavailable
Baltimore/Surr. Cntys$25.23Unavailable
Beaumont$22.88Unavailable
Brazoria$23.95Unavailable

92508 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.

$22.10

$30.23

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

View every state and territory as a table
92508 office rate range by state
State / territoryOffice rate rangeLocalities
AK$30.231
AL$22.321
AR$22.101
AZ$23.611
CA$25.30–$30.7229
CO$24.921
CT$25.321
DC$26.941
DE$23.921
FL$23.66–$25.083
GA$22.74–$24.352
GU$25.651
HI$25.651
IA$22.771
ID$22.861
IL$23.13–$24.734
IN$22.951
KS$22.661
KY$22.611
LA$22.58–$23.352
MA$24.83–$26.932
MD$24.28–$26.943
ME$22.91–$23.812
MI$22.99–$23.832
MN$24.181
MO$22.29–$23.443
MS$22.201
MT$24.051
NC$23.081
ND$23.851
NE$22.861
NH$24.531
NJ$25.69–$26.802
NM$23.061
NV$24.011
NY$23.31–$27.445
OH$22.951
OK$22.621
OR$23.90–$25.552
PA$22.99–$24.832
PR$24.181
RI$24.641
SC$23.031
SD$23.831
TN$22.741
TX$22.88–$24.778
UT$23.251
VA$23.73–$26.942
VI$24.181
VT$23.761
WA$24.78–$27.422
WI$23.281
WV$22.531
WY$23.961

How the 92508 rate is calculated

Each of 92508’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 · 92508

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 0.33Practice expense 0.38Malpractice 0.01

0.7200 adjusted RVUs×$33.4009 conversion factor=$24.05

All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.

Payment rules and modifiers for 92508

The CMS indicators that decide how 92508 is paid alongside other services.

CMS payment indicators · 92508

Speech therapy

RuleCMS valueWhat it means
Global periodXXXThe global surgery concept doesn’t apply.
Multiple procedures5Therapy reduction: practice expense of the second and later units is reduced.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
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

92508 without CQ · national office

$24.05

Speech therapy

92508-CQ · Allowed amount unchanged

$24.05

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.

92508 compared with similar codes

Compare codes

92508 vs 92507 vs 92523 vs 92526: national Medicare rates

Swap in your local Medicare rate.

  • 92508
    Speech therapy · 0.33 wRVU
    $24.05
  • 92507
    Speech therapy · 1.3 wRVU
    $76.15+$52.10
  • 92523
    Speech-language evaluation · 3.84 wRVU
    $226.46+$202.41
  • 92526
    Swallowing therapy · 1.34 wRVU
    $84.17+$60.12

How to choose

92507Speech therapy
92507 is for individual speech-language treatment; 92508 is for treatment provided in a group session.
92523Speech-language evaluation
92523 is an evaluation of speech production and language comprehension. 92508 reports skilled group treatment, not assessment.
92526Swallowing therapy
92526 addresses swallowing and oral function. Use 92508 for group speech-language treatment directed at communication-related goals.

Codes related to 92508

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

Codes related to 92508
CodeHow it relatesNational office range
Same family
92507Speech therapyIndividual speech-language treatment; 92508 is the group-session counterpart.$71.42–$99.82
Often billed with
92523Speech-language evaluationA distinct speech and language evaluation may accompany treatment when both services are performed.$212.50–$296.80
92526Swallowing therapyMay accompany group communication treatment when separate oral-function or swallowing therapy is provided.$78.50–$108.94

92508 billing questions

When should 92508 be used instead of 92507?

Use 92508 when the patient receives skilled treatment as part of a group session. Use 92507 for individual treatment.

Is the group service billed once for the whole group?

No. Report the service for each patient who receives treatment, with documentation supporting that patient’s participation and skilled care.

Can a professional component modifier be appended?

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

How does the therapy multiple procedure payment reduction affect 92508?

When multiple therapy units are reported on the same day, CMS reduces the practice-expense portion for the second and subsequent units.

What documentation supports reporting a group session?

Document the group format, the patient’s individualized treatment goals, skilled interventions, participation, and response to treatment.

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 92508PPRRVU2026_Oct_nonQPP.csv, line 11,780 (RVU26D)

Open CMS sourceHow we calculate rates

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