Billing code 92611: Swallow studyMedicare rate & RVUs
A speech-language pathologist evaluates swallowing during recorded fluoroscopy to assess bolus movement and identify problems such as penetration or aspiration.
Medicare pays $91.52 for 92611 nationally in the office. Local office rates run $84.21–$115.93.
Medicare rate · 92611
Swallow study
Swap in your local Medicare rate.
- Work RVUs
- 1.31
- Total RVUs
- 2.74
- Global days
- XXX
National rate · 2026
$91.52
Office setting, before claim adjustments.
See every locality for 92611 → · 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 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.
Where 92611 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
$84.21 to $115.93
109 of 109 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Alabama | $85.03 | Unavailable |
| Alaska* | $115.64 | Unavailable |
| Arizona | $89.85 | Unavailable |
| Arkansas | $84.21 | Unavailable |
| Atlanta | $92.72 | Unavailable |
| Austin | $94.09 | Unavailable |
| Bakersfield | $96.12 | Unavailable |
| Baltimore/Surr. Cntys | $95.98 | Unavailable |
| Beaumont | $87.25 | Unavailable |
| Brazoria | $91.09 | Unavailable |
| Chicago | $94.22 | Unavailable |
| Chico | $95.91 | Unavailable |
| Colorado | $94.63 | Unavailable |
| Connecticut | $96.29 | Unavailable |
| Dallas | $91.49 | Unavailable |
| Dc + Md/Va Suburbs | $102.27 | Unavailable |
| Delaware | $91.02 | Unavailable |
| Detroit | $91.05 | Unavailable |
| East St. Louis | $89.52 | Unavailable |
| El Centro | $95.92 | Unavailable |
| Fort Lauderdale | $93.47 | Unavailable |
| Fort Worth | $91.05 | Unavailable |
| Fresno | $95.91 | Unavailable |
| Galveston | $91.26 | Unavailable |
| Hanford-Corcoran | $95.91 | Unavailable |
| Hawaii, Guam | $97.13 | Unavailable |
| Houston | $92.17 | Unavailable |
| Idaho | $86.95 | Unavailable |
| Indiana | $87.30 | Unavailable |
| Iowa | $86.59 | Unavailable |
| Kansas | $86.27 | Unavailable |
| Kentucky | $86.26 | Unavailable |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | $101.19 | Unavailable |
| Madera | $95.91 | Unavailable |
| Manhattan | $102.76 | Unavailable |
| Merced | $95.91 | Unavailable |
| Metropolitan Boston | $102.07 | Unavailable |
| Metropolitan Kansas City | $88.67 | Unavailable |
| Metropolitan Philadelphia | $94.52 | Unavailable |
| Metropolitan St. Louis | $89.31 | Unavailable |
| Miami | $95.96 | Unavailable |
| Minnesota | $91.68 | Unavailable |
| Mississippi | $84.68 | Unavailable |
| Modesto | $95.91 | Unavailable |
| Montana** | $91.52 | Unavailable |
| Napa | $108.11 | Unavailable |
| Nebraska | $86.93 | Unavailable |
| Nevada** | $91.29 | Unavailable |
| New Hampshire | $93.20 | Unavailable |
| New Mexico | $88.03 | Unavailable |
| New Orleans | $89.03 | Unavailable |
| North Carolina | $87.83 | Unavailable |
| North Dakota** | $90.53 | Unavailable |
| Northern Nj | $101.76 | Unavailable |
| Nyc Suburbs/Long Island | $104.46 | Unavailable |
| Ohio | $87.52 | Unavailable |
| Oklahoma | $86.21 | Unavailable |
| Oxnard-Thousand Oaks-Ventura | $100.50 | Unavailable |
| Portland | $96.91 | Unavailable |
| Poughkpsie/N Nyc Suburbs | $98.22 | Unavailable |
| Puerto Rico | $92.00 | Unavailable |
| Queens | $103.45 | Unavailable |
| Redding | $95.91 | Unavailable |
| Rest Of California | $95.91 | Unavailable |
| Rest Of Florida | $90.33 | Unavailable |
| Rest Of Georgia | $86.86 | Unavailable |
| Rest Of Illinois | $88.45 | Unavailable |
| Rest Of Louisiana | $86.15 | Unavailable |
| Rest Of Maine | $87.20 | Unavailable |
| Rest Of Maryland | $92.37 | Unavailable |
| Rest Of Massachusetts | $94.32 | Unavailable |
| Rest Of Michigan | $87.72 | Unavailable |
| Rest Of Missouri | $85.11 | Unavailable |
| Rest Of New Jersey | $97.67 | Unavailable |
| Rest Of New York | $88.72 | Unavailable |
| Rest Of Oregon | $90.84 | Unavailable |
| Rest Of Pennsylvania | $87.65 | Unavailable |
| Rest Of Texas | $89.01 | Unavailable |
| Rest Of Washington | $94.13 | Unavailable |
| Rhode Island | $93.69 | Unavailable |
| Riverside-San Bernardino-Ontario | $96.49 | Unavailable |
| Sacramento-Roseville-Folsom | $99.83 | Unavailable |
| Salinas | $99.43 | Unavailable |
| San Diego-Chula Vista-Carlsbad | $101.10 | Unavailable |
| San Francisco-Oakland-Berkeley (Marin Cnty) | $113.67 | Unavailable |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | $113.61 | Unavailable |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | $115.93 | Unavailable |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | $115.70 | Unavailable |
| San Luis Obispo-Paso Robles | $97.89 | Unavailable |
| Santa Cruz-Watsonville | $101.57 | Unavailable |
| Santa Maria-Santa Barbara | $99.62 | Unavailable |
| Santa Rosa-Petaluma | $102.57 | Unavailable |
| Seattle (King Cnty) | $103.86 | Unavailable |
| South Carolina | $87.76 | Unavailable |
| South Dakota** | $90.41 | Unavailable |
| Southern Maine | $90.49 | Unavailable |
| Stockton | $95.91 | Unavailable |
| Suburban Chicago | $94.36 | Unavailable |
| Tennessee | $86.55 | Unavailable |
| Utah | $88.58 | Unavailable |
| Vallejo | $108.03 | Unavailable |
| Vermont | $90.23 | Unavailable |
| Virgin Islands | $92.00 | Unavailable |
| Virginia | $90.24 | Unavailable |
| Visalia | $95.91 | Unavailable |
| West Virginia | $86.20 | Unavailable |
| Wisconsin | $88.43 | Unavailable |
| Wyoming** | $91.08 | Unavailable |
| Yuba City | $95.91 | Unavailable |
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
Swap in your local Medicare rate.
Work 1.31Practice expense 1.38Malpractice 0.05
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 92611
The CMS indicators that decide how 92611 is paid alongside other services.
CMS payment indicators · 92611
Swallow study
| 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
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.
92611 compared with similar codes
Compare codes
92611 vs 92610 vs 92612 vs 74230: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 92610Swallow evaluation
- Use 92610 for a clinical swallowing-function assessment. Use 92611 when the evaluation is conducted with recorded fluoroscopic imaging.
- 92612Swallowing endoscopy
- 92612 describes an endoscopic swallowing examination. 92611 uses fluoroscopy to observe bolus movement.
- 74230Swallow study
- 74230 represents the radiologic swallowing examination; 92611 represents the speech-language pathologist’s evaluation during fluoroscopy.
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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