Billing code 92548: PosturographyMedicare rate & RVUs
Reports computerized balance testing across six sensory conditions to assess how a patient uses visual, somatosensory, and vestibular input to maintain posture.
Medicare pays $47.43 for 92548 nationally in the office. Local office rates run $43.57–$60.58.
Medicare rate · 92548
Posturography
Swap in your local Medicare rate.
- Work RVUs
- 0.65
- Total RVUs
- 1.42
- Global days
- XXX
National rate · 2026
$47.43
Office setting, before claim adjustments.
See every locality for 92548 → · 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
What 92548 covers
This test evaluates balance on a computerized platform while visual cues and the supporting surface are varied across six conditions. The resulting sway measurements help characterize how a patient uses vision, information from the feet and joints, and inner-ear balance signals to maintain posture. Audiologists and clinicians in vestibular testing programs commonly perform it for patients with dizziness, imbalance, or suspected difficulty integrating sensory balance cues. The service includes interpretation and a report.
Report 92548 for the six-condition sensory organization assessment, not for a broader vestibular battery simply because other tests are performed. The record should support the testing conditions completed, the patient’s measured responses, and the interpretation. CMS recognizes professional and technical components: modifier 26 identifies the interpretation, modifier TC identifies equipment and staff, and billing without either modifier represents the global service. The professional and technical portions are separately priced.
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 92548 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
$43.57 to $60.58
109 of 109 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Alabama | $44.01 | Unavailable |
| Alaska* | $59.61 | Unavailable |
| Arizona | $46.56 | Unavailable |
| Arkansas | $43.57 | Unavailable |
| Atlanta | $48.03 | Unavailable |
| Austin | $48.85 | Unavailable |
| Bakersfield | $49.99 | Unavailable |
| Baltimore/Surr. Cntys | $49.76 | Unavailable |
| Beaumont | $45.13 | Unavailable |
| Brazoria | $47.23 | Unavailable |
| Chicago | $48.57 | Unavailable |
| Chico | $49.89 | Unavailable |
| Colorado | $49.15 | Unavailable |
| Connecticut | $49.93 | Unavailable |
| Dallas | $47.43 | Unavailable |
| Dc + Md/Va Suburbs | $53.14 | Unavailable |
| Delaware | $47.17 | Unavailable |
| Detroit | $47.01 | Unavailable |
| East St. Louis | $46.10 | Unavailable |
| El Centro | $49.90 | Unavailable |
| Fort Lauderdale | $48.29 | Unavailable |
| Fort Worth | $47.19 | Unavailable |
| Fresno | $49.89 | Unavailable |
| Galveston | $47.31 | Unavailable |
| Hanford-Corcoran | $49.89 | Unavailable |
| Hawaii, Guam | $50.58 | Unavailable |
| Houston | $47.68 | Unavailable |
| Idaho | $45.07 | Unavailable |
| Indiana | $45.26 | Unavailable |
| Iowa | $44.90 | Unavailable |
| Kansas | $44.69 | Unavailable |
| Kentucky | $44.59 | Unavailable |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | $52.68 | Unavailable |
| Madera | $49.89 | Unavailable |
| Manhattan | $53.27 | Unavailable |
| Merced | $49.89 | Unavailable |
| Metropolitan Boston | $53.11 | Unavailable |
| Metropolitan Kansas City | $45.89 | Unavailable |
| Metropolitan Philadelphia | $48.98 | Unavailable |
| Metropolitan St. Louis | $46.23 | Unavailable |
| Miami | $49.48 | Unavailable |
| Minnesota | $47.69 | Unavailable |
| Mississippi | $43.77 | Unavailable |
| Modesto | $49.89 | Unavailable |
| Montana** | $47.43 | Unavailable |
| Napa | $56.43 | Unavailable |
| Nebraska | $45.08 | Unavailable |
| Nevada** | $47.34 | Unavailable |
| New Hampshire | $48.37 | Unavailable |
| New Mexico | $45.48 | Unavailable |
| New Orleans | $46.04 | Unavailable |
| North Carolina | $45.51 | Unavailable |
| North Dakota** | $47.03 | Unavailable |
| Northern Nj | $52.85 | Unavailable |
| Nyc Suburbs/Long Island | $54.13 | Unavailable |
| Ohio | $45.26 | Unavailable |
| Oklahoma | $44.60 | Unavailable |
| Oxnard-Thousand Oaks-Ventura | $52.34 | Unavailable |
| Portland | $50.39 | Unavailable |
| Poughkpsie/N Nyc Suburbs | $50.93 | Unavailable |
| Puerto Rico | $47.69 | Unavailable |
| Queens | $53.67 | Unavailable |
| Redding | $49.89 | Unavailable |
| Rest Of California | $49.89 | Unavailable |
| Rest Of Florida | $46.66 | Unavailable |
| Rest Of Georgia | $44.85 | Unavailable |
| Rest Of Illinois | $45.63 | Unavailable |
| Rest Of Louisiana | $44.52 | Unavailable |
| Rest Of Maine | $45.17 | Unavailable |
| Rest Of Maryland | $47.89 | Unavailable |
| Rest Of Massachusetts | $48.97 | Unavailable |
| Rest Of Michigan | $45.34 | Unavailable |
| Rest Of Missouri | $43.95 | Unavailable |
| Rest Of New Jersey | $50.67 | Unavailable |
| Rest Of New York | $45.98 | Unavailable |
| Rest Of Oregon | $47.13 | Unavailable |
| Rest Of Pennsylvania | $45.34 | Unavailable |
| Rest Of Texas | $46.09 | Unavailable |
| Rest Of Washington | $48.88 | Unavailable |
| Rhode Island | $48.60 | Unavailable |
| Riverside-San Bernardino-Ontario | $50.13 | Unavailable |
| Sacramento-Roseville-Folsom | $51.98 | Unavailable |
| Salinas | $51.78 | Unavailable |
| San Diego-Chula Vista-Carlsbad | $52.68 | Unavailable |
| San Francisco-Oakland-Berkeley (Marin Cnty) | $59.40 | Unavailable |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | $59.38 | Unavailable |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | $60.58 | Unavailable |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | $60.49 | Unavailable |
| San Luis Obispo-Paso Robles | $50.97 | Unavailable |
| Santa Cruz-Watsonville | $52.96 | Unavailable |
| Santa Maria-Santa Barbara | $51.89 | Unavailable |
| Santa Rosa-Petaluma | $53.48 | Unavailable |
| Seattle (King Cnty) | $54.08 | Unavailable |
| South Carolina | $45.43 | Unavailable |
| South Dakota** | $46.99 | Unavailable |
| Southern Maine | $46.96 | Unavailable |
| Stockton | $49.89 | Unavailable |
| Suburban Chicago | $48.77 | Unavailable |
| Tennessee | $44.84 | Unavailable |
| Utah | $45.86 | Unavailable |
| Vallejo | $56.40 | Unavailable |
| Vermont | $46.85 | Unavailable |
| Virgin Islands | $47.69 | Unavailable |
| Virginia | $46.81 | Unavailable |
| Visalia | $49.89 | Unavailable |
| West Virginia | $44.44 | Unavailable |
| Wisconsin | $45.91 | Unavailable |
| Wyoming** | $47.26 | Unavailable |
| Yuba City | $49.89 | Unavailable |
92548 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.
$43.57
$59.61
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 | $59.61 | 1 |
| AL | $44.01 | 1 |
| AR | $43.57 | 1 |
| AZ | $46.56 | 1 |
| CA | $49.89–$60.58 | 29 |
| CO | $49.15 | 1 |
| CT | $49.93 | 1 |
| DC | $53.14 | 1 |
| DE | $47.17 | 1 |
| FL | $46.66–$49.48 | 3 |
| GA | $44.85–$48.03 | 2 |
| GU | $50.58 | 1 |
| HI | $50.58 | 1 |
| IA | $44.90 | 1 |
| ID | $45.07 | 1 |
| IL | $45.63–$48.77 | 4 |
| IN | $45.26 | 1 |
| KS | $44.69 | 1 |
| KY | $44.59 | 1 |
| LA | $44.52–$46.04 | 2 |
| MA | $48.97–$53.11 | 2 |
| MD | $47.89–$53.14 | 3 |
| ME | $45.17–$46.96 | 2 |
| MI | $45.34–$47.01 | 2 |
| MN | $47.69 | 1 |
| MO | $43.95–$46.23 | 3 |
| MS | $43.77 | 1 |
| MT | $47.43 | 1 |
| NC | $45.51 | 1 |
| ND | $47.03 | 1 |
| NE | $45.08 | 1 |
| NH | $48.37 | 1 |
| NJ | $50.67–$52.85 | 2 |
| NM | $45.48 | 1 |
| NV | $47.34 | 1 |
| NY | $45.98–$54.13 | 5 |
| OH | $45.26 | 1 |
| OK | $44.60 | 1 |
| OR | $47.13–$50.39 | 2 |
| PA | $45.34–$48.98 | 2 |
| PR | $47.69 | 1 |
| RI | $48.60 | 1 |
| SC | $45.43 | 1 |
| SD | $46.99 | 1 |
| TN | $44.84 | 1 |
| TX | $45.13–$48.85 | 8 |
| UT | $45.86 | 1 |
| VA | $46.81–$53.14 | 2 |
| VI | $47.69 | 1 |
| VT | $46.85 | 1 |
| WA | $48.88–$54.08 | 2 |
| WI | $45.91 | 1 |
| WV | $44.44 | 1 |
| WY | $47.26 | 1 |
How the 92548 rate is calculated
Each of 92548’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 · 92548
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 0.65Practice expense 0.75Malpractice 0.02
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 92548
The CMS indicators that decide how 92548 is paid alongside other services.
CMS payment indicators · 92548
Posturography
| 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 | 1 | Diagnostic test with separate professional (26) and technical (TC) components. |
What modifiers do to the payment
Modifier 26 · payment effect
With and without the modifier
92548 without 26 · national office
$47.43
Posturography
92548-26 · Professional component
$33.07
Pays only the interpretation and report.
92548 compared with similar codes
Compare codes
92548 vs 92549 vs 92540 vs 92546: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 92549Dynamic posturography
- 92548 covers the six-condition sensory organization assessment. Choose 92549 when the service also includes motor control and adaptation testing.
- 92540Vestibular evaluation
- 92540 is a basic vestibular evaluation focused on eye-movement findings; 92548 measures postural responses under varied sensory conditions.
- 92546Rotational test
- 92546 evaluates responses to rotational stimulation in a chair. 92548 evaluates balance while visual and support-surface cues are varied.
92548 billing questions
How is 92548 different from 92549?
92548 reports the six-condition sensory organization assessment. 92549 is the broader posturography service that adds motor control and adaptation testing.
Can the professional and technical portions be billed separately?
Yes. Use modifier 26 for the interpretation and report, or modifier TC for the equipment and staff portion. Without either modifier, the claim represents the global service.
What documentation supports 92548?
Document the sensory organization testing performed, the recorded balance responses, and the interpretation linking those findings to the patient’s balance assessment.
Is the interpretation included in 92548?
The service includes interpretation and a report. Modifier 26 identifies the professional component when it is billed separately from the technical component.
Should 92548 be selected for any computerized balance test?
No. Select it for the six-condition sensory organization assessment; use 92549 when motor control and adaptation testing are also part of the reported service.
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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