Billing code 92562: Loudness balanceMedicare rate & RVUs
Reports audiometric loudness balancing between ears, typically to assess suspected loudness recruitment in a patient with asymmetric sensorineural hearing loss.
Medicare pays $49.10 for 92562 nationally in the office. Local office rates run $42.06–$70.50.
Medicare rate · 92562
Loudness balance
Swap in your local Medicare rate.
- Work RVUs
- 0
- Total RVUs
- 1.47
- Global days
- XXX
National rate · 2026
$49.10
Office setting, before claim adjustments.
See every locality for 92562 → · 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 92562 covers
An audiologist presents matched tones and adjusts their intensity to compare how loud they seem to the patient in each ear. This loudness balance assessment can help evaluate suspected recruitment, in which sound loudness grows abnormally quickly in an ear with sensorineural hearing loss. It is generally performed as part of a diagnostic audiology evaluation in an office or hearing clinic, rather than as a hearing screening.
Report 92562 when the loudness balance test is performed, not merely because the patient has hearing loss or has had routine audiometry. Documentation should identify the test, the ears assessed, relevant stimulus and response findings, and the clinical reason for testing. CMS classifies this as a technical-component-only service; a separate code covers interpretation. The code is priced as bilateral, so modifier 50 does not increase payment. Other audiologic tests may be reported when separately performed and documented for distinct diagnostic questions.
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 92562 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
$42.06 to $70.50
109 of 109 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Alabama | $42.86 | Unavailable |
| Alaska* | $52.12 | Unavailable |
| Arizona | $47.54 | Unavailable |
| Arkansas | $42.06 | Unavailable |
| Atlanta | $49.95 | Unavailable |
| Austin | $51.89 | Unavailable |
| Bakersfield | $53.65 | Unavailable |
| Baltimore/Surr. Cntys | $52.74 | Unavailable |
| Beaumont | $44.69 | Unavailable |
| Brazoria | $48.59 | Unavailable |
| Chicago | $49.78 | Unavailable |
| Chico | $53.63 | Unavailable |
| Colorado | $52.15 | Unavailable |
| Connecticut | $52.92 | Unavailable |
| Dallas | $48.86 | Unavailable |
| Dc + Md/Va Suburbs | $57.82 | Unavailable |
| Delaware | $48.48 | Unavailable |
| Detroit | $47.62 | Unavailable |
| East St. Louis | $45.54 | Unavailable |
| El Centro | $53.63 | Unavailable |
| Fort Lauderdale | $50.00 | Unavailable |
| Fort Worth | $48.37 | Unavailable |
| Fresno | $53.63 | Unavailable |
| Galveston | $48.70 | Unavailable |
| Hanford-Corcoran | $53.63 | Unavailable |
| Hawaii, Guam | $55.64 | Unavailable |
| Houston | $48.88 | Unavailable |
| Idaho | $45.02 | Unavailable |
| Indiana | $45.37 | Unavailable |
| Iowa | $44.75 | Unavailable |
| Kansas | $44.25 | Unavailable |
| Kentucky | $43.66 | Unavailable |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | $57.91 | Unavailable |
| Madera | $53.63 | Unavailable |
| Manhattan | $57.20 | Unavailable |
| Merced | $53.63 | Unavailable |
| Metropolitan Boston | $58.52 | Unavailable |
| Metropolitan Kansas City | $46.12 | Unavailable |
| Metropolitan Philadelphia | $51.16 | Unavailable |
| Metropolitan St. Louis | $46.76 | Unavailable |
| Miami | $51.61 | Unavailable |
| Minnesota | $50.28 | Unavailable |
| Mississippi | $42.23 | Unavailable |
| Modesto | $53.63 | Unavailable |
| Montana** | $49.10 | Unavailable |
| Napa | $64.44 | Unavailable |
| Nebraska | $45.14 | Unavailable |
| Nevada** | $49.09 | Unavailable |
| New Hampshire | $51.06 | Unavailable |
| New Mexico | $45.12 | Unavailable |
| New Orleans | $46.27 | Unavailable |
| North Carolina | $45.71 | Unavailable |
| North Dakota** | $48.90 | Unavailable |
| Northern Nj | $56.92 | Unavailable |
| Nyc Suburbs/Long Island | $58.60 | Unavailable |
| Ohio | $44.86 | Unavailable |
| Oklahoma | $43.81 | Unavailable |
| Oxnard-Thousand Oaks-Ventura | $57.85 | Unavailable |
| Portland | $54.43 | Unavailable |
| Poughkpsie/N Nyc Suburbs | $53.80 | Unavailable |
| Puerto Rico | $49.63 | Unavailable |
| Queens | $58.12 | Unavailable |
| Redding | $53.63 | Unavailable |
| Rest Of California | $53.63 | Unavailable |
| Rest Of Florida | $47.12 | Unavailable |
| Rest Of Georgia | $43.90 | Unavailable |
| Rest Of Illinois | $45.04 | Unavailable |
| Rest Of Louisiana | $43.48 | Unavailable |
| Rest Of Maine | $45.07 | Unavailable |
| Rest Of Maryland | $49.66 | Unavailable |
| Rest Of Massachusetts | $51.62 | Unavailable |
| Rest Of Michigan | $44.90 | Unavailable |
| Rest Of Missouri | $42.36 | Unavailable |
| Rest Of New Jersey | $53.62 | Unavailable |
| Rest Of New York | $46.56 | Unavailable |
| Rest Of Oregon | $48.81 | Unavailable |
| Rest Of Pennsylvania | $45.08 | Unavailable |
| Rest Of Texas | $46.58 | Unavailable |
| Rest Of Washington | $51.60 | Unavailable |
| Rhode Island | $50.67 | Unavailable |
| Riverside-San Bernardino-Ontario | $53.73 | Unavailable |
| Sacramento-Roseville-Folsom | $56.89 | Unavailable |
| Salinas | $56.70 | Unavailable |
| San Diego-Chula Vista-Carlsbad | $58.50 | Unavailable |
| San Francisco-Oakland-Berkeley (Marin Cnty) | $68.91 | Unavailable |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | $68.90 | Unavailable |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | $70.50 | Unavailable |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | $70.45 | Unavailable |
| San Luis Obispo-Paso Robles | $55.72 | Unavailable |
| Santa Cruz-Watsonville | $59.43 | Unavailable |
| Santa Maria-Santa Barbara | $57.04 | Unavailable |
| Santa Rosa-Petaluma | $60.06 | Unavailable |
| Seattle (King Cnty) | $60.11 | Unavailable |
| South Carolina | $45.34 | Unavailable |
| South Dakota** | $48.88 | Unavailable |
| Southern Maine | $48.54 | Unavailable |
| Stockton | $53.63 | Unavailable |
| Suburban Chicago | $50.67 | Unavailable |
| Tennessee | $44.51 | Unavailable |
| Utah | $46.14 | Unavailable |
| Vallejo | $64.43 | Unavailable |
| Vermont | $48.45 | Unavailable |
| Virgin Islands | $49.63 | Unavailable |
| Virginia | $48.17 | Unavailable |
| Visalia | $53.63 | Unavailable |
| West Virginia | $42.86 | Unavailable |
| Wisconsin | $46.82 | Unavailable |
| Wyoming** | $49.01 | Unavailable |
| Yuba City | $53.63 | Unavailable |
92562 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.
$42.06
$62.07
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 | $52.12 | 1 |
| AL | $42.86 | 1 |
| AR | $42.06 | 1 |
| AZ | $47.54 | 1 |
| CA | $53.63–$70.50 | 29 |
| CO | $52.15 | 1 |
| CT | $52.92 | 1 |
| DC | $57.82 | 1 |
| DE | $48.48 | 1 |
| FL | $47.12–$51.61 | 3 |
| GA | $43.90–$49.95 | 2 |
| GU | $55.64 | 1 |
| HI | $55.64 | 1 |
| IA | $44.75 | 1 |
| ID | $45.02 | 1 |
| IL | $45.04–$50.67 | 4 |
| IN | $45.37 | 1 |
| KS | $44.25 | 1 |
| KY | $43.66 | 1 |
| LA | $43.48–$46.27 | 2 |
| MA | $51.62–$58.52 | 2 |
| MD | $49.66–$57.82 | 3 |
| ME | $45.07–$48.54 | 2 |
| MI | $44.90–$47.62 | 2 |
| MN | $50.28 | 1 |
| MO | $42.36–$46.76 | 3 |
| MS | $42.23 | 1 |
| MT | $49.10 | 1 |
| NC | $45.71 | 1 |
| ND | $48.90 | 1 |
| NE | $45.14 | 1 |
| NH | $51.06 | 1 |
| NJ | $53.62–$56.92 | 2 |
| NM | $45.12 | 1 |
| NV | $49.09 | 1 |
| NY | $46.56–$58.60 | 5 |
| OH | $44.86 | 1 |
| OK | $43.81 | 1 |
| OR | $48.81–$54.43 | 2 |
| PA | $45.08–$51.16 | 2 |
| PR | $49.63 | 1 |
| RI | $50.67 | 1 |
| SC | $45.34 | 1 |
| SD | $48.88 | 1 |
| TN | $44.51 | 1 |
| TX | $44.69–$51.89 | 8 |
| UT | $46.14 | 1 |
| VA | $48.17–$57.82 | 2 |
| VI | $49.63 | 1 |
| VT | $48.45 | 1 |
| WA | $51.60–$60.11 | 2 |
| WI | $46.82 | 1 |
| WV | $42.86 | 1 |
| WY | $49.01 | 1 |
How the 92562 rate is calculated
Each of 92562’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 · 92562
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 0.00Practice expense 1.46Malpractice 0.01
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 92562
The CMS indicators that decide how 92562 is paid alongside other services.
CMS payment indicators · 92562
Loudness balance
| 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) | 2 | Already bilateral by definition: paid once at 100%. |
| 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 | 3 | Technical component only. |
92562 compared with similar codes
Compare codes
92562 vs 92563 vs 92565 vs 92557: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 92563Tone decay test
- 92562 compares perceived loudness between ears; 92563 evaluates tone decay, or difficulty sustaining perception of a tone.
- 92565Stenger test
- 92562 assesses interaural loudness balance. 92565 is a pure-tone Stenger test used to evaluate inconsistent responses between ears.
- 92557Comprehensive hearing test
- 92557 covers comprehensive threshold and speech-recognition audiometry. It does not substitute for a separately performed loudness balance assessment.
92562 billing questions
When should 92562 be chosen instead of tone decay testing?
Use 92562 for comparing perceived loudness between ears. Tone decay testing, 92563, evaluates whether a patient can sustain perception of a tone over time.
Does 92562 include interpretation?
No. CMS identifies 92562 as technical-component-only; a separate code covers interpretation.
Should modifier 50 be appended for both ears?
The code is priced as bilateral. Modifier 50 does not increase payment.
What documentation supports reporting 92562?
Document the loudness balance procedure, ears assessed, test findings, and the clinical reason for comparing loudness between ears.
Can 92562 be reported with comprehensive audiometry?
It may be reported with 92557 when both the loudness balance test and comprehensive audiometry are separately performed. The record should support each service and its distinct 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
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