$19.11–$31.97
Use 92577 for a speech-based Stenger test and 92565 when the Stenger test uses pure tones.
On this page
CMS RVU26D · Effective 2026-10-01
92577 Stenger test Medicare reimbursement rates
Reports a speech-based Stenger test used by an audiologist to assess reported unilateral or asymmetric hearing loss against behavioral responses. Compare 92577 office and facility rates across CMS payment localities.
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
What does Medicare pay for 92577?
The service location and office or facility setting determine which base rate applies. These are the supported base rates for the 109 payment areas shown below, using the same CMS release.
Office / nonfacility
$19.40–$32.45
109 of 109 localities have a supported rate.
Lowest: Arkansas
Highest: San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
A spread of $13.05 per service.
Facility setting
No supported rate
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Where 92577 pays more and less
109 payment localities
$19.40 to $32.45
Audiology
About 92577: Speech Stenger hearing test
Reports a speech-based Stenger test used by an audiologist to assess reported unilateral or asymmetric hearing loss against behavioral responses.
An audiologist performs this behavioral test when a patient reports hearing loss that is substantially worse in one ear, particularly when responses on other hearing tests are inconsistent. Speech stimuli are presented to both ears at controlled levels, and the patient’s responses help assess whether the reported asymmetry is supported by the test. The test may be part of an outpatient audiologic evaluation, alongside other hearing measures when those are separately performed.
Report 92577 for the technical performance of the speech Stenger test; CMS identifies it as a technical-component-only service, with interpretation covered by a separate code. Documentation should identify the reason for testing, the test conditions, responses from each ear, and the findings. The code is priced as bilateral, so report the service once rather than adding modifier 50 to increase payment.
CMS billing rules for 92577
- Professional and technical components
- Technical-component-only code: a separate code covers interpretation.
- Bilateral procedures
- The code is already priced as bilateral; modifier 50 does not increase payment.
Where the value comes from
- Work RVU0.00 · 0%
- Practice expense (office) RVU0.67 · 99%
- Malpractice RVU0.01 · 1%
146
Medicare services in 2024 · #4583 by national volume
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.
92577 compared with similar codes
Office rate ranges across all CMS payment localities, from the same CMS release.
$39.77–$66.65
92556 assesses speech thresholds and recognition; 92577 uses a Stenger procedure to evaluate responses in reported asymmetric hearing loss.
$33.41–$46.61
92557 is comprehensive audiometry combining air- and bone-conduction and speech testing. 92577 is a distinct speech Stenger test, not a comprehensive hearing test.
See how rates vary across the country
92577 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.
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.
$19.40
$28.58
Color shows the midpoint of each state’s locality range.
View all state and territory rates as a table
| State / territory | Rate range | Localities |
|---|---|---|
| AK | $24.02 | 1 |
| AL | $19.77 | 1 |
| AR | $19.40 | 1 |
| AZ | $21.97 | 1 |
| CA | $24.71–$32.45 | 29 |
| CO | $24.07 | 1 |
| CT | $24.51 | 1 |
| DC | $26.73 | 1 |
| DE | $22.41 | 1 |
| FL | $21.90–$24.14 | 3 |
| GA | $20.36–$23.14 | 2 |
| GU | $25.64 | 1 |
| HI | $25.64 | 1 |
| IA | $20.61 | 1 |
| ID | $20.75 | 1 |
| IL | $20.95–$23.57 | 4 |
| IN | $20.91 | 1 |
| KS | $20.40 | 1 |
| KY | $20.20 | 1 |
| LA | $20.13–$21.44 | 2 |
| MA | $23.83–$27.02 | 2 |
| MD | $22.95–$26.73 | 3 |
| ME | $20.80–$22.39 | 2 |
| MI | $20.81–$22.16 | 2 |
| MN | $23.13 | 1 |
| MO | $19.62–$21.64 | 3 |
| MS | $19.51 | 1 |
| MT | $22.71 | 1 |
| NC | $21.09 | 1 |
| ND | $22.51 | 1 |
| NE | $20.78 | 1 |
| NH | $23.59 | 1 |
| NJ | $24.80–$26.32 | 2 |
| NM | $20.92 | 1 |
| NV | $22.68 | 1 |
| NY | $21.49–$27.23 | 5 |
| OH | $20.77 | 1 |
| OK | $20.24 | 1 |
| OR | $22.52–$25.11 | 2 |
| PA | $20.86–$23.69 | 2 |
| PR | $22.95 | 1 |
| RI | $23.42 | 1 |
| SC | $20.96 | 1 |
| SD | $22.49 | 1 |
| TN | $20.52 | 1 |
| TX | $20.67–$23.97 | 8 |
| UT | $21.34 | 1 |
| VA | $22.23–$26.73 | 2 |
| VI | $22.95 | 1 |
| VT | $22.32 | 1 |
| WA | $23.82–$27.73 | 2 |
| WI | $21.54 | 1 |
| WV | $19.92 | 1 |
| WY | $22.63 | 1 |
Compare 92577 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
109 of 109 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Alabama | Office $19.77 | Facility Unavailable |
| Alaska* | Office $24.02 | Facility Unavailable |
| Arizona | Office $21.97 | Facility Unavailable |
| Arkansas | Office $19.40 | Facility Unavailable |
| Atlanta | Office $23.14 | Facility Unavailable |
| Austin | Office $23.97 | Facility Unavailable |
| Bakersfield | Office $24.73 | Facility Unavailable |
| Baltimore/Surr. Cntys | Office $24.43 | Facility Unavailable |
| Beaumont | Office $20.67 | Facility Unavailable |
| Brazoria | Office $22.44 | Facility Unavailable |
| Chicago | Office $23.26 | Facility Unavailable |
| Chico | Office $24.71 | Facility Unavailable |
| Colorado | Office $24.07 | Facility Unavailable |
| Connecticut | Office $24.51 | Facility Unavailable |
| Dallas | Office $22.58 | Facility Unavailable |
| Dc + Md/Va Suburbs | Office $26.73 | Facility Unavailable |
| Delaware | Office $22.41 | Facility Unavailable |
| Detroit | Office $22.16 | Facility Unavailable |
| East St. Louis | Office $21.26 | Facility Unavailable |
| El Centro | Office $24.71 | Facility Unavailable |
| Fort Lauderdale | Office $23.27 | Facility Unavailable |
| Fort Worth | Office $22.36 | Facility Unavailable |
| Fresno | Office $24.71 | Facility Unavailable |
| Galveston | Office $22.50 | Facility Unavailable |
| Hanford-Corcoran | Office $24.71 | Facility Unavailable |
| Hawaii, Guam | Office $25.64 | Facility Unavailable |
| Houston | Office $22.68 | Facility Unavailable |
| Idaho | Office $20.75 | Facility Unavailable |
| Indiana | Office $20.91 | Facility Unavailable |
| Iowa | Office $20.61 | Facility Unavailable |
| Kansas | Office $20.40 | Facility Unavailable |
| Kentucky | Office $20.20 | Facility Unavailable |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | Office $26.70 | Facility Unavailable |
| Madera | Office $24.71 | Facility Unavailable |
| Manhattan | Office $26.53 | Facility Unavailable |
| Merced | Office $24.71 | Facility Unavailable |
| Metropolitan Boston | Office $27.02 | Facility Unavailable |
| Metropolitan Kansas City | Office $21.34 | Facility Unavailable |
| Metropolitan Philadelphia | Office $23.69 | Facility Unavailable |
| Metropolitan St. Louis | Office $21.64 | Facility Unavailable |
| Miami | Office $24.14 | Facility Unavailable |
| Minnesota | Office $23.13 | Facility Unavailable |
| Mississippi | Office $19.51 | Facility Unavailable |
| Modesto | Office $24.71 | Facility Unavailable |
| Montana** | Office $22.71 | Facility Unavailable |
| Napa | Office $29.66 | Facility Unavailable |
| Nebraska | Office $20.78 | Facility Unavailable |
| Nevada** | Office $22.68 | Facility Unavailable |
| New Hampshire | Office $23.59 | Facility Unavailable |
| New Mexico | Office $20.92 | Facility Unavailable |
| New Orleans | Office $21.44 | Facility Unavailable |
| North Carolina | Office $21.09 | Facility Unavailable |
| North Dakota** | Office $22.51 | Facility Unavailable |
| Northern Nj | Office $26.32 | Facility Unavailable |
| Nyc Suburbs/Long Island | Office $27.23 | Facility Unavailable |
| Ohio | Office $20.77 | Facility Unavailable |
| Oklahoma | Office $20.24 | Facility Unavailable |
| Oxnard-Thousand Oaks-Ventura | Office $26.66 | Facility Unavailable |
| Portland | Office $25.11 | Facility Unavailable |
| Poughkpsie/N Nyc Suburbs | Office $24.91 | Facility Unavailable |
| Puerto Rico | Office $22.95 | Facility Unavailable |
| Queens | Office $26.93 | Facility Unavailable |
| Redding | Office $24.71 | Facility Unavailable |
| Rest Of California | Office $24.71 | Facility Unavailable |
| Rest Of Florida | Office $21.90 | Facility Unavailable |
| Rest Of Georgia | Office $20.36 | Facility Unavailable |
| Rest Of Illinois | Office $20.95 | Facility Unavailable |
| Rest Of Louisiana | Office $20.13 | Facility Unavailable |
| Rest Of Maine | Office $20.80 | Facility Unavailable |
| Rest Of Maryland | Office $22.95 | Facility Unavailable |
| Rest Of Massachusetts | Office $23.83 | Facility Unavailable |
| Rest Of Michigan | Office $20.81 | Facility Unavailable |
| Rest Of Missouri | Office $19.62 | Facility Unavailable |
| Rest Of New Jersey | Office $24.80 | Facility Unavailable |
| Rest Of New York | Office $21.49 | Facility Unavailable |
| Rest Of Oregon | Office $22.52 | Facility Unavailable |
| Rest Of Pennsylvania | Office $20.86 | Facility Unavailable |
| Rest Of Texas | Office $21.54 | Facility Unavailable |
| Rest Of Washington | Office $23.82 | Facility Unavailable |
| Rhode Island | Office $23.42 | Facility Unavailable |
| Riverside-San Bernardino-Ontario | Office $24.81 | Facility Unavailable |
| Sacramento-Roseville-Folsom | Office $26.21 | Facility Unavailable |
| Salinas | Office $26.12 | Facility Unavailable |
| San Diego-Chula Vista-Carlsbad | Office $26.95 | Facility Unavailable |
| San Francisco-Oakland-Berkeley (Marin Cnty) | Office $31.71 | Facility Unavailable |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | Office $31.70 | Facility Unavailable |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | Office $32.45 | Facility Unavailable |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | Office $32.40 | Facility Unavailable |
| San Luis Obispo-Paso Robles | Office $25.67 | Facility Unavailable |
| Santa Cruz-Watsonville | Office $27.37 | Facility Unavailable |
| Santa Maria-Santa Barbara | Office $26.27 | Facility Unavailable |
| Santa Rosa-Petaluma | Office $27.66 | Facility Unavailable |
| Seattle (King Cnty) | Office $27.73 | Facility Unavailable |
| South Carolina | Office $20.96 | Facility Unavailable |
| South Dakota** | Office $22.49 | Facility Unavailable |
| Southern Maine | Office $22.39 | Facility Unavailable |
| Stockton | Office $24.71 | Facility Unavailable |
| Suburban Chicago | Office $23.57 | Facility Unavailable |
| Tennessee | Office $20.52 | Facility Unavailable |
| Utah | Office $21.34 | Facility Unavailable |
| Vallejo | Office $29.65 | Facility Unavailable |
| Vermont | Office $22.32 | Facility Unavailable |
| Virgin Islands | Office $22.95 | Facility Unavailable |
| Virginia | Office $22.23 | Facility Unavailable |
| Visalia | Office $24.71 | Facility Unavailable |
| West Virginia | Office $19.92 | Facility Unavailable |
| Wisconsin | Office $21.54 | Facility Unavailable |
| Wyoming** | Office $22.63 | Facility Unavailable |
| Yuba City | Office $24.71 | Facility Unavailable |
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92577 billing questions
How is 92577 different from the pure-tone Stenger test?
92577 is the speech-based Stenger test. Use 92565 for the pure-tone Stenger test.
Does 92577 include interpretation?
No. CMS identifies 92577 as technical-component-only; interpretation is covered by a separate code.
Should modifier 50 be appended?
No. CMS prices 92577 as bilateral, and modifier 50 does not increase payment.
Can 92577 be reported with comprehensive audiometry?
It may be reported with 92557 when comprehensive audiometry is also performed. Document the separate test results and services.
What documentation supports 92577?
Record the clinical reason for the speech Stenger test, the controlled test conditions, responses from both ears, and the resulting 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 indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
11,84392572,,Staggered spondaic word test,A,,0.00,1.80,,1.80,NA,0.01,1.81,1.81,3,XXX,0.00,0.00,0.00,0,2,0,0,0,9,,33.4009,02,0,99,0.00,0.00,0.00
11,84492575,,Sensorineural acuity lvl tst,A,,0.00,2.19,,2.19,NA,0.02,2.21,2.21,3,XXX,0.00,0.00,0.00,0,2,0,0,0,9,,33.4009,02,0,99,0.00,0.00,0.00
11,84592576,,Synthetic sentence id test,A,,0.00,1.26,,1.26,NA,0.01,1.27,1.27,3,XXX,0.00,0.00,0.00,0,2,0,0,0,9,,33.4009,02,0,99,0.00,0.00,0.00
11,84692577,,Stenger test speech,A,,0.00,0.67,,0.67,NA,0.01,0.68,0.68,3,XXX,0.00,0.00,0.00,0,2,0,0,0,9,,33.4009,02,0,99,0.00,0.00,0.00
11,84792579,,Visual audiometry (vra),A,,0.68,0.60,,0.20,,0.01,1.29,0.89,7,XXX,0.00,0.00,0.00,0,2,0,0,0,9,,33.4009,02,0,99,0.00,0.00,0.00
11,84892582,,Conditioning play audiometry,A,,0.00,2.59,,2.59,NA,0.01,2.60,2.60,3,XXX,0.00,0.00,0.00,0,2,0,0,0,9,,33.4009,02,0,99,0.00,0.00,0.00
11,84992583,,Select picture audiometry,A,,0.00,1.83,,1.83,NA,0.01,1.84,1.84,3,XXX,0.00,0.00,0.00,0,2,0,0,0,9,,33.4009,02,0,99,0.00,0.00,0.00