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CMS RVU26D · Effective 2026-10-01

92556 in Chico

Office / nonfacility

$50.70

Base rate per service

Facility setting

Not available in this setting

Base rate per service

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.

Audiology

About 92556: Speech threshold and recognition audiometry

Reports speech audiometry that measures a patient's speech threshold and speech recognition as part of a diagnostic hearing assessment.

An audiologist typically presents speech stimuli to assess the level at which a patient can detect or repeat speech and how well the patient recognizes it. The testing helps characterize hearing difficulty and is commonly performed in an outpatient audiology clinic or an ear, nose, and throat practice. Unlike a speech-threshold-only test, this service includes speech recognition testing as well as threshold assessment.

Report 92556 for the speech portion when both threshold and recognition testing are performed; document the results and the testing performed. It represents the technical testing service, while interpretation is covered by a separate code. The CMS payment basis treats the service as bilateral, so modifier 50 does not increase payment. When a comprehensive hearing assessment is performed, distinguish this speech testing from the broader combination of pure-tone and speech testing represented by 92557.

CMS billing rules for 92556

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) RVU1.38 · 99%
  • Malpractice RVU0.01 · 1%

54.9K

Medicare services in 2024 · #750 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.

92556 compared with similar codes

Office rates for Chico, from the same CMS release.

92555

Speech audiometry

Threshold only

$32.39

92555 reports speech-threshold testing alone. Choose 92556 when speech-recognition testing is also performed.

92557

Comprehensive hearing test

Air, bone, and speech testing

$37.40

92557 is the comprehensive audiometry service combining pure-tone and speech testing. 92556 represents the speech portion rather than that complete test combination.

92553

Audiometry

Air and bone thresholds

$53.63

92553 measures pure-tone hearing by air and bone conduction; 92556 assesses speech threshold and speech recognition.

The same code, a different location

How does Chico compare?

In Bakersfield, the office rate for 92556 is $50.72—$0.02 higher than the $50.70 rate in Chico. Both use the same code, release and participation basis.

92556 across payment areas

Same release and payment basis · bars start at $0

  1. Chico · This locality

    $50.70

  2. Bakersfield

    $50.72

    $0.02 higher than Chico

  3. El Centro

    $50.70

    The same base rate than Chico

  4. Fresno

    $50.70

    The same base rate than Chico

  5. Hanford-Corcoran

    $50.70

    The same base rate than Chico

  6. Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)

    $54.75

    $4.05 higher than Chico

  7. Madera

    $50.70

    The same base rate than Chico

Other payment areas listed in California appear first, followed by selected cross-country examples. The chart compares amounts, not distance.

Across 109 of 109 CMS payment localities with a supported office rate, 92556 ranges from $39.77 in Arkansas to $66.65 in San Jose-Sunnyvale-Santa Clara (San Benito Cnty). This is a geographic range, not an average.

The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.

Compare all 108 other payment areas

  • Merced

    California · 92556

    Office

    $50.70

    Facility

    Unavailable

    The same base rate than Chico for the office setting.

  • Modesto

    California · 92556

    Office

    $50.70

    Facility

    Unavailable

    The same base rate than Chico for the office setting.

  • Napa

    California · 92556

    Office

    $60.92

    Facility

    Unavailable

    $10.22 higher than Chico for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 92556

    Office

    $54.69

    Facility

    Unavailable

    $3.99 higher than Chico for the office setting.

  • Redding

    California · 92556

    Office

    $50.70

    Facility

    Unavailable

    The same base rate than Chico for the office setting.

  • Rest Of California

    California · 92556

    Office

    $50.70

    Facility

    Unavailable

    The same base rate than Chico for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 92556

    Office

    $50.80

    Facility

    Unavailable

    $0.10 higher than Chico for the office setting.

  • Sacramento-Roseville-Folsom

    California · 92556

    Office

    $53.79

    Facility

    Unavailable

    $3.09 higher than Chico for the office setting.

  • Salinas

    California · 92556

    Office

    $53.60

    Facility

    Unavailable

    $2.90 higher than Chico for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 92556

    Office

    $55.31

    Facility

    Unavailable

    $4.61 higher than Chico for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 92556

    Office

    $65.14

    Facility

    Unavailable

    $14.44 higher than Chico for the office setting.

  • San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)

    California · 92556

    Office

    $65.13

    Facility

    Unavailable

    $14.43 higher than Chico for the office setting.

  • San Jose-Sunnyvale-Santa Clara (San Benito Cnty)

    California · 92556

    Office

    $66.65

    Facility

    Unavailable

    $15.95 higher than Chico for the office setting.

  • San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)

    California · 92556

    Office

    $66.60

    Facility

    Unavailable

    $15.90 higher than Chico for the office setting.

  • San Luis Obispo-Paso Robles

    California · 92556

    Office

    $52.68

    Facility

    Unavailable

    $1.98 higher than Chico for the office setting.

  • Santa Cruz-Watsonville

    California · 92556

    Office

    $56.18

    Facility

    Unavailable

    $5.48 higher than Chico for the office setting.

  • Santa Maria-Santa Barbara

    California · 92556

    Office

    $53.92

    Facility

    Unavailable

    $3.22 higher than Chico for the office setting.

  • Santa Rosa-Petaluma

    California · 92556

    Office

    $56.78

    Facility

    Unavailable

    $6.08 higher than Chico for the office setting.

  • Stockton

    California · 92556

    Office

    $50.70

    Facility

    Unavailable

    The same base rate than Chico for the office setting.

  • Vallejo

    California · 92556

    Office

    $60.90

    Facility

    Unavailable

    $10.20 higher than Chico for the office setting.

  • Visalia

    California · 92556

    Office

    $50.70

    Facility

    Unavailable

    The same base rate than Chico for the office setting.

  • Yuba City

    California · 92556

    Office

    $50.70

    Facility

    Unavailable

    The same base rate than Chico for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 92556

    Office

    $54.67

    Facility

    Unavailable

    $3.97 higher than Chico for the office setting.

  • Miami

    Florida · 92556

    Office

    $48.83

    Facility

    Unavailable

    $1.87 lower than Chico for the office setting.

  • Chicago

    Illinois · 92556

    Office

    $47.09

    Facility

    Unavailable

    $3.61 lower than Chico for the office setting.

  • Manhattan

    New York · 92556

    Office

    $54.09

    Facility

    Unavailable

    $3.39 higher than Chico for the office setting.

  • Alaska*

    Alaska · 92556

    Office

    $49.27

    Facility

    Unavailable

    $1.43 lower than Chico for the office setting.

  • Alabama

    Alabama · 92556

    Office

    $40.52

    Facility

    Unavailable

    $10.18 lower than Chico for the office setting.

  • Arkansas

    Arkansas · 92556

    Office

    $39.77

    Facility

    Unavailable

    $10.93 lower than Chico for the office setting.

  • Arizona

    Arizona · 92556

    Office

    $44.95

    Facility

    Unavailable

    $5.75 lower than Chico for the office setting.

  • Colorado

    Colorado · 92556

    Office

    $49.30

    Facility

    Unavailable

    $1.40 lower than Chico for the office setting.

  • Connecticut

    Connecticut · 92556

    Office

    $50.05

    Facility

    Unavailable

    $0.65 lower than Chico for the office setting.

  • Delaware

    Delaware · 92556

    Office

    $45.84

    Facility

    Unavailable

    $4.86 lower than Chico for the office setting.

  • Fort Lauderdale

    Florida · 92556

    Office

    $47.30

    Facility

    Unavailable

    $3.40 lower than Chico for the office setting.

  • Rest Of Florida

    Florida · 92556

    Office

    $44.57

    Facility

    Unavailable

    $6.13 lower than Chico for the office setting.

  • Atlanta

    Georgia · 92556

    Office

    $47.23

    Facility

    Unavailable

    $3.47 lower than Chico for the office setting.

  • Rest Of Georgia

    Georgia · 92556

    Office

    $41.51

    Facility

    Unavailable

    $9.19 lower than Chico for the office setting.

  • Hawaii, Guam

    Hawaii · 92556

    Office

    $52.60

    Facility

    Unavailable

    $1.90 higher than Chico for the office setting.

  • Iowa

    Iowa · 92556

    Office

    $42.31

    Facility

    Unavailable

    $8.39 lower than Chico for the office setting.

  • Idaho

    Idaho · 92556

    Office

    $42.56

    Facility

    Unavailable

    $8.14 lower than Chico for the office setting.

  • East St. Louis

    Illinois · 92556

    Office

    $43.08

    Facility

    Unavailable

    $7.62 lower than Chico for the office setting.

  • Rest Of Illinois

    Illinois · 92556

    Office

    $42.61

    Facility

    Unavailable

    $8.09 lower than Chico for the office setting.

  • Suburban Chicago

    Illinois · 92556

    Office

    $47.93

    Facility

    Unavailable

    $2.77 lower than Chico for the office setting.

  • Indiana

    Indiana · 92556

    Office

    $42.89

    Facility

    Unavailable

    $7.81 lower than Chico for the office setting.

  • Kansas

    Kansas · 92556

    Office

    $41.84

    Facility

    Unavailable

    $8.86 lower than Chico for the office setting.

  • Kentucky

    Kentucky · 92556

    Office

    $41.28

    Facility

    Unavailable

    $9.42 lower than Chico for the office setting.

  • New Orleans

    Louisiana · 92556

    Office

    $43.75

    Facility

    Unavailable

    $6.95 lower than Chico for the office setting.

  • Rest Of Louisiana

    Louisiana · 92556

    Office

    $41.11

    Facility

    Unavailable

    $9.59 lower than Chico for the office setting.

  • Metropolitan Boston

    Massachusetts · 92556

    Office

    $55.33

    Facility

    Unavailable

    $4.63 higher than Chico for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 92556

    Office

    $48.80

    Facility

    Unavailable

    $1.90 lower than Chico for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 92556

    Office

    $49.87

    Facility

    Unavailable

    $0.83 lower than Chico for the office setting.

  • Rest Of Maryland

    Maryland · 92556

    Office

    $46.95

    Facility

    Unavailable

    $3.75 lower than Chico for the office setting.

  • Rest Of Maine

    Maine · 92556

    Office

    $42.61

    Facility

    Unavailable

    $8.09 lower than Chico for the office setting.

  • Southern Maine

    Maine · 92556

    Office

    $45.89

    Facility

    Unavailable

    $4.81 lower than Chico for the office setting.

  • Detroit

    Michigan · 92556

    Office

    $45.04

    Facility

    Unavailable

    $5.66 lower than Chico for the office setting.

  • Rest Of Michigan

    Michigan · 92556

    Office

    $42.46

    Facility

    Unavailable

    $8.24 lower than Chico for the office setting.

  • Minnesota

    Minnesota · 92556

    Office

    $47.53

    Facility

    Unavailable

    $3.17 lower than Chico for the office setting.

  • Metropolitan Kansas City

    Missouri · 92556

    Office

    $43.61

    Facility

    Unavailable

    $7.09 lower than Chico for the office setting.

  • Metropolitan St. Louis

    Missouri · 92556

    Office

    $44.22

    Facility

    Unavailable

    $6.48 lower than Chico for the office setting.

  • Rest Of Missouri

    Missouri · 92556

    Office

    $40.06

    Facility

    Unavailable

    $10.64 lower than Chico for the office setting.

  • Mississippi

    Mississippi · 92556

    Office

    $39.93

    Facility

    Unavailable

    $10.77 lower than Chico for the office setting.

  • Montana**

    Montana · 92556

    Office

    $46.43

    Facility

    Unavailable

    $4.27 lower than Chico for the office setting.

  • North Carolina

    North Carolina · 92556

    Office

    $43.22

    Facility

    Unavailable

    $7.48 lower than Chico for the office setting.

  • North Dakota**

    North Dakota · 92556

    Office

    $46.23

    Facility

    Unavailable

    $4.47 lower than Chico for the office setting.

  • Nebraska

    Nebraska · 92556

    Office

    $42.67

    Facility

    Unavailable

    $8.03 lower than Chico for the office setting.

  • New Hampshire

    New Hampshire · 92556

    Office

    $48.28

    Facility

    Unavailable

    $2.42 lower than Chico for the office setting.

  • Northern Nj

    New Jersey · 92556

    Office

    $53.82

    Facility

    Unavailable

    $3.12 higher than Chico for the office setting.

  • Rest Of New Jersey

    New Jersey · 92556

    Office

    $50.70

    Facility

    Unavailable

    The same base rate than Chico for the office setting.

  • New Mexico

    New Mexico · 92556

    Office

    $42.67

    Facility

    Unavailable

    $8.03 lower than Chico for the office setting.

  • Nevada**

    Nevada · 92556

    Office

    $46.42

    Facility

    Unavailable

    $4.28 lower than Chico for the office setting.

  • Nyc Suburbs/Long Island

    New York · 92556

    Office

    $55.43

    Facility

    Unavailable

    $4.73 higher than Chico for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 92556

    Office

    $50.88

    Facility

    Unavailable

    $0.18 higher than Chico for the office setting.

  • Queens

    New York · 92556

    Office

    $54.96

    Facility

    Unavailable

    $4.26 higher than Chico for the office setting.

  • Rest Of New York

    New York · 92556

    Office

    $44.02

    Facility

    Unavailable

    $6.68 lower than Chico for the office setting.

  • Ohio

    Ohio · 92556

    Office

    $42.42

    Facility

    Unavailable

    $8.28 lower than Chico for the office setting.

  • Oklahoma

    Oklahoma · 92556

    Office

    $41.42

    Facility

    Unavailable

    $9.28 lower than Chico for the office setting.

  • Portland

    Oregon · 92556

    Office

    $51.46

    Facility

    Unavailable

    $0.76 higher than Chico for the office setting.

  • Rest Of Oregon

    Oregon · 92556

    Office

    $46.14

    Facility

    Unavailable

    $4.56 lower than Chico for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 92556

    Office

    $48.38

    Facility

    Unavailable

    $2.32 lower than Chico for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 92556

    Office

    $42.63

    Facility

    Unavailable

    $8.07 lower than Chico for the office setting.

  • Puerto Rico

    Puerto Rico · 92556

    Office

    $46.93

    Facility

    Unavailable

    $3.77 lower than Chico for the office setting.

  • Rhode Island

    Rhode Island · 92556

    Office

    $47.91

    Facility

    Unavailable

    $2.79 lower than Chico for the office setting.

  • South Carolina

    South Carolina · 92556

    Office

    $42.87

    Facility

    Unavailable

    $7.83 lower than Chico for the office setting.

  • South Dakota**

    South Dakota · 92556

    Office

    $46.21

    Facility

    Unavailable

    $4.49 lower than Chico for the office setting.

  • Tennessee

    Tennessee · 92556

    Office

    $42.08

    Facility

    Unavailable

    $8.62 lower than Chico for the office setting.

  • Austin

    Texas · 92556

    Office

    $49.06

    Facility

    Unavailable

    $1.64 lower than Chico for the office setting.

  • Beaumont

    Texas · 92556

    Office

    $42.26

    Facility

    Unavailable

    $8.44 lower than Chico for the office setting.

  • Brazoria

    Texas · 92556

    Office

    $45.94

    Facility

    Unavailable

    $4.76 lower than Chico for the office setting.

  • Dallas

    Texas · 92556

    Office

    $46.20

    Facility

    Unavailable

    $4.50 lower than Chico for the office setting.

  • Fort Worth

    Texas · 92556

    Office

    $45.74

    Facility

    Unavailable

    $4.96 lower than Chico for the office setting.

  • Galveston

    Texas · 92556

    Office

    $46.05

    Facility

    Unavailable

    $4.65 lower than Chico for the office setting.

  • Houston

    Texas · 92556

    Office

    $46.23

    Facility

    Unavailable

    $4.47 lower than Chico for the office setting.

  • Rest Of Texas

    Texas · 92556

    Office

    $44.04

    Facility

    Unavailable

    $6.66 lower than Chico for the office setting.

  • Utah

    Utah · 92556

    Office

    $43.63

    Facility

    Unavailable

    $7.07 lower than Chico for the office setting.

  • Virginia

    Virginia · 92556

    Office

    $45.55

    Facility

    Unavailable

    $5.15 lower than Chico for the office setting.

  • Virgin Islands

    United States Virgin Islands · 92556

    Office

    $46.93

    Facility

    Unavailable

    $3.77 lower than Chico for the office setting.

  • Vermont

    Vermont · 92556

    Office

    $45.80

    Facility

    Unavailable

    $4.90 lower than Chico for the office setting.

  • Rest Of Washington

    Washington · 92556

    Office

    $48.79

    Facility

    Unavailable

    $1.91 lower than Chico for the office setting.

  • Seattle (King Cnty)

    Washington · 92556

    Office

    $56.83

    Facility

    Unavailable

    $6.13 higher than Chico for the office setting.

  • Wisconsin

    Wisconsin · 92556

    Office

    $44.26

    Facility

    Unavailable

    $6.44 lower than Chico for the office setting.

  • West Virginia

    West Virginia · 92556

    Office

    $40.53

    Facility

    Unavailable

    $10.17 lower than Chico for the office setting.

  • Wyoming**

    Wyoming · 92556

    Office

    $46.34

    Facility

    Unavailable

    $4.36 lower than Chico for the office setting.

See how rates vary across the country

92556 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.

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.

$39.77

$58.68

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$49.271
AL$40.521
AR$39.771
AZ$44.951
CA$50.70–$66.6529
CO$49.301
CT$50.051
DC$54.671
DE$45.841
FL$44.57–$48.833
GA$41.51–$47.232
GU$52.601
HI$52.601
IA$42.311
ID$42.561
IL$42.61–$47.934
IN$42.891
KS$41.841
KY$41.281
LA$41.11–$43.752
MA$48.80–$55.332
MD$46.95–$54.673
ME$42.61–$45.892
MI$42.46–$45.042
MN$47.531
MO$40.06–$44.223
MS$39.931
MT$46.431
NC$43.221
ND$46.231
NE$42.671
NH$48.281
NJ$50.70–$53.822
NM$42.671
NV$46.421
NY$44.02–$55.435
OH$42.421
OK$41.421
OR$46.14–$51.462
PA$42.63–$48.382
PR$46.931
RI$47.911
SC$42.871
SD$46.211
TN$42.081
TX$42.26–$49.068
UT$43.631
VA$45.55–$54.672
VI$46.931
VT$45.801
WA$48.79–$56.832
WI$44.261
WV$40.531
WY$46.341

Explore 92556 on the national rate map →

Where does this rate apply?

Chico is a Medicare payment area. Our Census mapping connects it to 30 cities and communities in California, including the examples shown here.

Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.

Browse all communities in California →

Use this rate

What is a percentage of Medicare worth?

Turn a percentage into dollars for 92556 in Chico. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$55.77

$50.70 × 110% = $55.77

A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.

Working with a whole code list?

Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.

Compare your contract offer →

How this local rate is calculated

Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 92556 in Chico.

PPRRVU2026_Oct_nonQPP.csv

11,833

Code
92556
Physician work
0.00
Practice expense
1.38
Malpractice
0.01

GPCI2026.csv

9

Locality
Chico
Physician work
1.017
Practice expense
1.096
Malpractice
0.536
Office / nonfacility calculation for 92556 in Chico
ComponentRVULocality factorAdjusted
Physician work0.00× 1.0170.0000
Practice expense1.38× 1.0961.5125
Malpractice0.01× 0.5360.0054
Total RVUs1.5178
Conversion factor× 33.4009

Office / nonfacility rate, Chico$50.70

Values as parsed from CMS release RVU26D, effective 2026-10-01. The amount is rounded to the nearest cent only at the end.

Open 92556 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work01.017
Practice expense1.381.096
Malpractice0.010.536

(0 × 1.017 + 1.38 × 1.096 + 0.01 × 0.536) × $33.4009 = $50.70

The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.

How this rate has changed

92556 · Office / nonfacility

$50.70

Effective 2026-10-01

The base rate is $1.02 higher than on 2025-10-01, moving from $49.68 to $50.70 (2.1%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release

  1. January 1, 2026

    RVU26A

    $49.68changed to$50.70

    • Conversion factor 32.3465 changed to 33.4009
    • Practice expense RVU 1.40 changed to 1.38
    • Work GPCI 1.014 changed to 1.017
    • Practice expense GPCI 1.093 changed to 1.096
    • Malpractice GPCI 0.560 changed to 0.536

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $49.68

    Held through RVU25B, RVU25C, RVU25D.

Explore release dates and calculate this code in an earlier period →

Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.

Inspect every release and its CMS source
Effective fromOffice / nonfacilityFacilityCMS release
2026-10-01$50.70Not available in this settingRVU26D
2026-07-01$50.70Not available in this settingRVU26C
2026-04-01$50.70Not available in this settingRVU26B
2026-01-01$50.70Not available in this settingRVU26A
2025-10-01$49.68Not available in this settingRVU25D
2025-07-01$49.68Not available in this settingRVU25C
2025-04-01$49.68Not available in this settingRVU25B
2025-01-01$49.68Not available in this settingRVU25A

92556 billing questions

How does 92556 differ from 92555?

92556 includes speech recognition testing along with speech-threshold assessment. Use 92555 when the service is limited to speech-threshold testing.

Is interpretation included in 92556?

No. CMS classifies 92556 as a technical-component-only code; a separate code covers interpretation.

Should modifier 50 be appended when both ears are tested?

The code is already priced as bilateral. Modifier 50 does not increase its payment.

When should 92557 be used instead?

92557 represents comprehensive audiometry combining pure-tone testing with speech audiometry. Use 92556 for the speech testing when the broader comprehensive service is not performed.

What should the record support?

Document that speech-threshold and speech-recognition testing were performed and record the findings for each test.

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.

RVUs for 92556PPRRVU2026_Oct_nonQPP.csv, line 11,833 (RVU26D)
Geographic factors for ChicoGPCI2026.csv, line 9 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet