92587 represents the limited evaluation of 3 to 6 frequencies. Choose 92588 for a comprehensive or diagnostic evoked otoacoustic emissions evaluation.
On this page
CMS RVU26D · Effective 2026-10-01
92587 in Merced
Office / nonfacility
$22.86
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 92587: Limited evoked otoacoustic emissions assessment
Reports a limited-frequency otoacoustic emissions assessment used to evaluate cochlear response when confirming or investigating suspected hearing disorder, often alongside audiologic testing.
This test measures otoacoustic emissions, sounds generated by the inner ear in response to an acoustic stimulus delivered through a probe in the ear canal. An audiologist commonly performs it in an office or hospital audiology department as part of a hearing evaluation, including assessment of patients who cannot provide reliable behavioral responses. The limited evaluation samples 3 to 6 frequencies and supports assessment of cochlear function; it does not provide behavioral hearing thresholds.
Report 92587 for the limited-frequency evaluation, with documentation of the clinical reason, test method, frequencies assessed, findings, and interpretation. The code includes an interpretation and report. CMS recognizes professional and technical components: report modifier 26 for the interpretation, modifier TC for equipment and staff, or neither modifier for the global service. The code is priced as bilateral, so modifier 50 does not increase payment. A broader frequency evaluation is represented by 92588.
CMS billing rules for 92587
- Professional and technical components
- Diagnostic test with a professional component (modifier 26, interpretation) and a technical component (modifier TC, equipment and staff); billing without a modifier is the global service.
- Bilateral procedures
- The code is already priced as bilateral; modifier 50 does not increase payment.
Where the value comes from
- Work RVU0.35 · 53%
- Practice expense (office) RVU0.29 · 44%
- Malpractice RVU0.02 · 3%
37.2K
Medicare services in 2024 · #898 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.
92587 compared with similar codes
Office rates for Merced, from the same CMS release.
Evoked auditory test qual
92558 is for automated evoked otoacoustic emissions screening. 92587 is the limited assessment used to confirm or investigate a hearing disorder and includes interpretation and a report.
92557 is a comprehensive hearing test using audiometric procedures, not an otoacoustic emissions assessment. Report 92587 only when the separate emissions service is also performed.
The same code, a different location
How does Merced compare?
In Bakersfield, the office rate for 92587 is $22.94—$0.08 higher than the $22.86 rate in Merced. Both use the same code, release and participation basis.
92587 across payment areas
Same release and payment basis · bars start at $0
Merced · This locality
$22.86
$22.94
$0.08 higher than Merced
$22.86
The same base rate than Merced
$22.87
$0.01 higher than Merced
$22.86
The same base rate than Merced
$22.86
The same base rate than Merced
$1.21 higher than Merced
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, 92587 ranges from $20.35 in Arkansas to $28.22 in Alaska*. 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
Madera
California · 92587
Office
$22.86
Facility
Unavailable
The same base rate than Merced for the office setting.
Modesto
California · 92587
Office
$22.86
Facility
Unavailable
The same base rate than Merced for the office setting.
Napa
California · 92587
Office
$25.53
Facility
Unavailable
$2.67 higher than Merced for the office setting.
Oxnard-Thousand Oaks-Ventura
California · 92587
Office
$23.88
Facility
Unavailable
$1.02 higher than Merced for the office setting.
Redding
California · 92587
Office
$22.86
Facility
Unavailable
The same base rate than Merced for the office setting.
Rest Of California
California · 92587
Office
$22.86
Facility
Unavailable
The same base rate than Merced for the office setting.
Riverside-San Bernardino-Ontario
California · 92587
Office
$23.09
Facility
Unavailable
$0.23 higher than Merced for the office setting.
Sacramento-Roseville-Folsom
California · 92587
Office
$23.73
Facility
Unavailable
$0.87 higher than Merced for the office setting.
Salinas
California · 92587
Office
$23.64
Facility
Unavailable
$0.78 higher than Merced for the office setting.
San Diego-Chula Vista-Carlsbad
California · 92587
Office
$23.99
Facility
Unavailable
$1.13 higher than Merced for the office setting.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 92587
Office
$26.77
Facility
Unavailable
$3.91 higher than Merced for the office setting.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 92587
Office
$26.74
Facility
Unavailable
$3.88 higher than Merced for the office setting.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 92587
Office
$27.30
Facility
Unavailable
$4.44 higher than Merced for the office setting.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 92587
Office
$27.21
Facility
Unavailable
$4.35 higher than Merced for the office setting.
San Luis Obispo-Paso Robles
California · 92587
Office
$23.28
Facility
Unavailable
$0.42 higher than Merced for the office setting.
Santa Cruz-Watsonville
California · 92587
Office
$24.06
Facility
Unavailable
$1.20 higher than Merced for the office setting.
Santa Maria-Santa Barbara
California · 92587
Office
$23.67
Facility
Unavailable
$0.81 higher than Merced for the office setting.
Santa Rosa-Petaluma
California · 92587
Office
$24.29
Facility
Unavailable
$1.43 higher than Merced for the office setting.
Stockton
California · 92587
Office
$22.86
Facility
Unavailable
The same base rate than Merced for the office setting.
Vallejo
California · 92587
Office
$25.50
Facility
Unavailable
$2.64 higher than Merced for the office setting.
Visalia
California · 92587
Office
$22.86
Facility
Unavailable
The same base rate than Merced for the office setting.
Yuba City
California · 92587
Office
$22.86
Facility
Unavailable
The same base rate than Merced for the office setting.
Dc + Md/Va Suburbs
District of Columbia · 92587
Office
$24.48
Facility
Unavailable
$1.62 higher than Merced for the office setting.
Miami
Florida · 92587
Office
$23.46
Facility
Unavailable
$0.60 higher than Merced for the office setting.
Chicago
Illinois · 92587
Office
$23.04
Facility
Unavailable
$0.18 higher than Merced for the office setting.
Manhattan
New York · 92587
Office
$24.75
Facility
Unavailable
$1.89 higher than Merced for the office setting.
Alaska*
Alaska · 92587
Office
$28.22
Facility
Unavailable
$5.36 higher than Merced for the office setting.
Alabama
Alabama · 92587
Office
$20.54
Facility
Unavailable
$2.32 lower than Merced for the office setting.
Arkansas
Arkansas · 92587
Office
$20.35
Facility
Unavailable
$2.51 lower than Merced for the office setting.
Arizona
Arizona · 92587
Office
$21.65
Facility
Unavailable
$1.21 lower than Merced for the office setting.
Colorado
Colorado · 92587
Office
$22.66
Facility
Unavailable
$0.20 lower than Merced for the office setting.
Connecticut
Connecticut · 92587
Office
$23.16
Facility
Unavailable
$0.30 higher than Merced for the office setting.
Delaware
Delaware · 92587
Office
$21.92
Facility
Unavailable
$0.94 lower than Merced for the office setting.
Fort Lauderdale
Florida · 92587
Office
$22.71
Facility
Unavailable
$0.15 lower than Merced for the office setting.
Rest Of Florida
Florida · 92587
Office
$21.95
Facility
Unavailable
$0.91 lower than Merced for the office setting.
Atlanta
Georgia · 92587
Office
$22.37
Facility
Unavailable
$0.49 lower than Merced for the office setting.
Rest Of Georgia
Georgia · 92587
Office
$21.13
Facility
Unavailable
$1.73 lower than Merced for the office setting.
Hawaii, Guam
Hawaii · 92587
Office
$23.09
Facility
Unavailable
$0.23 higher than Merced for the office setting.
Iowa
Iowa · 92587
Office
$20.82
Facility
Unavailable
$2.04 lower than Merced for the office setting.
Idaho
Idaho · 92587
Office
$20.92
Facility
Unavailable
$1.94 lower than Merced for the office setting.
East St. Louis
Illinois · 92587
Office
$21.95
Facility
Unavailable
$0.91 lower than Merced for the office setting.
Rest Of Illinois
Illinois · 92587
Office
$21.58
Facility
Unavailable
$1.28 lower than Merced for the office setting.
Suburban Chicago
Illinois · 92587
Office
$22.90
Facility
Unavailable
$0.04 higher than Merced for the office setting.
Indiana
Indiana · 92587
Office
$20.99
Facility
Unavailable
$1.87 lower than Merced for the office setting.
Kansas
Kansas · 92587
Office
$20.78
Facility
Unavailable
$2.08 lower than Merced for the office setting.
Kentucky
Kentucky · 92587
Office
$20.91
Facility
Unavailable
$1.95 lower than Merced for the office setting.
New Orleans
Louisiana · 92587
Office
$21.56
Facility
Unavailable
$1.30 lower than Merced for the office setting.
Rest Of Louisiana
Louisiana · 92587
Office
$20.90
Facility
Unavailable
$1.96 lower than Merced for the office setting.
Metropolitan Boston
Massachusetts · 92587
Office
$24.33
Facility
Unavailable
$1.47 higher than Merced for the office setting.
Rest Of Massachusetts
Massachusetts · 92587
Office
$22.61
Facility
Unavailable
$0.25 lower than Merced for the office setting.
Baltimore/Surr. Cntys
Maryland · 92587
Office
$23.10
Facility
Unavailable
$0.24 higher than Merced for the office setting.
Rest Of Maryland
Maryland · 92587
Office
$22.22
Facility
Unavailable
$0.64 lower than Merced for the office setting.
Rest Of Maine
Maine · 92587
Office
$21.02
Facility
Unavailable
$1.84 lower than Merced for the office setting.
Southern Maine
Maine · 92587
Office
$21.71
Facility
Unavailable
$1.15 lower than Merced for the office setting.
Detroit
Michigan · 92587
Office
$22.16
Facility
Unavailable
$0.70 lower than Merced for the office setting.
Rest Of Michigan
Michigan · 92587
Office
$21.29
Facility
Unavailable
$1.57 lower than Merced for the office setting.
Minnesota
Minnesota · 92587
Office
$21.86
Facility
Unavailable
$1.00 lower than Merced for the office setting.
Metropolitan Kansas City
Missouri · 92587
Office
$21.44
Facility
Unavailable
$1.42 lower than Merced for the office setting.
Metropolitan St. Louis
Missouri · 92587
Office
$21.58
Facility
Unavailable
$1.28 lower than Merced for the office setting.
Rest Of Missouri
Missouri · 92587
Office
$20.69
Facility
Unavailable
$2.17 lower than Merced for the office setting.
Mississippi
Mississippi · 92587
Office
$20.52
Facility
Unavailable
$2.34 lower than Merced for the office setting.
Montana**
Montana · 92587
Office
$22.04
Facility
Unavailable
$0.82 lower than Merced for the office setting.
North Carolina
North Carolina · 92587
Office
$21.15
Facility
Unavailable
$1.71 lower than Merced for the office setting.
North Dakota**
North Dakota · 92587
Office
$21.65
Facility
Unavailable
$1.21 lower than Merced for the office setting.
Nebraska
Nebraska · 92587
Office
$20.88
Facility
Unavailable
$1.98 lower than Merced for the office setting.
New Hampshire
New Hampshire · 92587
Office
$22.36
Facility
Unavailable
$0.50 lower than Merced for the office setting.
Northern Nj
New Jersey · 92587
Office
$24.38
Facility
Unavailable
$1.52 higher than Merced for the office setting.
Rest Of New Jersey
New Jersey · 92587
Office
$23.47
Facility
Unavailable
$0.61 higher than Merced for the office setting.
New Mexico
New Mexico · 92587
Office
$21.37
Facility
Unavailable
$1.49 lower than Merced for the office setting.
Nevada**
Nevada · 92587
Office
$21.94
Facility
Unavailable
$0.92 lower than Merced for the office setting.
Nyc Suburbs/Long Island
New York · 92587
Office
$25.20
Facility
Unavailable
$2.34 higher than Merced for the office setting.
Poughkpsie/N Nyc Suburbs
New York · 92587
Office
$23.63
Facility
Unavailable
$0.77 higher than Merced for the office setting.
Queens
New York · 92587
Office
$24.85
Facility
Unavailable
$1.99 higher than Merced for the office setting.
Rest Of New York
New York · 92587
Office
$21.36
Facility
Unavailable
$1.50 lower than Merced for the office setting.
Ohio
Ohio · 92587
Office
$21.21
Facility
Unavailable
$1.65 lower than Merced for the office setting.
Oklahoma
Oklahoma · 92587
Office
$20.86
Facility
Unavailable
$2.00 lower than Merced for the office setting.
Portland
Oregon · 92587
Office
$23.14
Facility
Unavailable
$0.28 higher than Merced for the office setting.
Rest Of Oregon
Oregon · 92587
Office
$21.81
Facility
Unavailable
$1.05 lower than Merced for the office setting.
Metropolitan Philadelphia
Pennsylvania · 92587
Office
$22.78
Facility
Unavailable
$0.08 lower than Merced for the office setting.
Rest Of Pennsylvania
Pennsylvania · 92587
Office
$21.21
Facility
Unavailable
$1.65 lower than Merced for the office setting.
Puerto Rico
Puerto Rico · 92587
Office
$22.14
Facility
Unavailable
$0.72 lower than Merced for the office setting.
Rhode Island
Rhode Island · 92587
Office
$22.51
Facility
Unavailable
$0.35 lower than Merced for the office setting.
South Carolina
South Carolina · 92587
Office
$21.21
Facility
Unavailable
$1.65 lower than Merced for the office setting.
South Dakota**
South Dakota · 92587
Office
$21.60
Facility
Unavailable
$1.26 lower than Merced for the office setting.
Tennessee
Tennessee · 92587
Office
$20.85
Facility
Unavailable
$2.01 lower than Merced for the office setting.
Austin
Texas · 92587
Office
$22.55
Facility
Unavailable
$0.31 lower than Merced for the office setting.
Beaumont
Texas · 92587
Office
$21.13
Facility
Unavailable
$1.73 lower than Merced for the office setting.
Brazoria
Texas · 92587
Office
$21.90
Facility
Unavailable
$0.96 lower than Merced for the office setting.
Dallas
Texas · 92587
Office
$22.02
Facility
Unavailable
$0.84 lower than Merced for the office setting.
Fort Worth
Texas · 92587
Office
$21.93
Facility
Unavailable
$0.93 lower than Merced for the office setting.
Galveston
Texas · 92587
Office
$21.96
Facility
Unavailable
$0.90 lower than Merced for the office setting.
Houston
Texas · 92587
Office
$22.32
Facility
Unavailable
$0.54 lower than Merced for the office setting.
Rest Of Texas
Texas · 92587
Office
$21.49
Facility
Unavailable
$1.37 lower than Merced for the office setting.
Utah
Utah · 92587
Office
$21.40
Facility
Unavailable
$1.46 lower than Merced for the office setting.
Virginia
Virginia · 92587
Office
$21.68
Facility
Unavailable
$1.18 lower than Merced for the office setting.
Virgin Islands
United States Virgin Islands · 92587
Office
$22.14
Facility
Unavailable
$0.72 lower than Merced for the office setting.
Vermont
Vermont · 92587
Office
$21.62
Facility
Unavailable
$1.24 lower than Merced for the office setting.
Rest Of Washington
Washington · 92587
Office
$22.55
Facility
Unavailable
$0.31 lower than Merced for the office setting.
Seattle (King Cnty)
Washington · 92587
Office
$24.71
Facility
Unavailable
$1.85 higher than Merced for the office setting.
Wisconsin
Wisconsin · 92587
Office
$21.18
Facility
Unavailable
$1.68 lower than Merced for the office setting.
West Virginia
West Virginia · 92587
Office
$21.06
Facility
Unavailable
$1.80 lower than Merced for the office setting.
Wyoming**
Wyoming · 92587
Office
$21.87
Facility
Unavailable
$0.99 lower than Merced for the office setting.
See how rates vary across the country
92587 · 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.
$20.35
$28.22
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 | $28.22 | 1 |
| AL | $20.54 | 1 |
| AR | $20.35 | 1 |
| AZ | $21.65 | 1 |
| CA | $22.86–$27.30 | 29 |
| CO | $22.66 | 1 |
| CT | $23.16 | 1 |
| DC | $24.48 | 1 |
| DE | $21.92 | 1 |
| FL | $21.95–$23.46 | 3 |
| GA | $21.13–$22.37 | 2 |
| GU | $23.09 | 1 |
| HI | $23.09 | 1 |
| IA | $20.82 | 1 |
| ID | $20.92 | 1 |
| IL | $21.58–$23.04 | 4 |
| IN | $20.99 | 1 |
| KS | $20.78 | 1 |
| KY | $20.91 | 1 |
| LA | $20.90–$21.56 | 2 |
| MA | $22.61–$24.33 | 2 |
| MD | $22.22–$24.48 | 3 |
| ME | $21.02–$21.71 | 2 |
| MI | $21.29–$22.16 | 2 |
| MN | $21.86 | 1 |
| MO | $20.69–$21.58 | 3 |
| MS | $20.52 | 1 |
| MT | $22.04 | 1 |
| NC | $21.15 | 1 |
| ND | $21.65 | 1 |
| NE | $20.88 | 1 |
| NH | $22.36 | 1 |
| NJ | $23.47–$24.38 | 2 |
| NM | $21.37 | 1 |
| NV | $21.94 | 1 |
| NY | $21.36–$25.20 | 5 |
| OH | $21.21 | 1 |
| OK | $20.86 | 1 |
| OR | $21.81–$23.14 | 2 |
| PA | $21.21–$22.78 | 2 |
| PR | $22.14 | 1 |
| RI | $22.51 | 1 |
| SC | $21.21 | 1 |
| SD | $21.60 | 1 |
| TN | $20.85 | 1 |
| TX | $21.13–$22.55 | 8 |
| UT | $21.40 | 1 |
| VA | $21.68–$24.48 | 2 |
| VI | $22.14 | 1 |
| VT | $21.62 | 1 |
| WA | $22.55–$24.71 | 2 |
| WI | $21.18 | 1 |
| WV | $21.06 | 1 |
| WY | $21.87 | 1 |
Where does this rate apply?
Merced is a Medicare payment area. Our Census mapping connects it to 24 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.
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 92587 in Merced. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$25.15
$22.86 × 110% = $25.15
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.
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 92587 in Merced.
PPRRVU2026_Oct_nonQPP.csv
11,851
- Code
- 92587
- Physician work
- 0.35
- Practice expense
- 0.29
- Malpractice
- 0.02
GPCI2026.csv
15
- Locality
- Merced
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.35 | × 1.017 | 0.3559 |
| Practice expense | 0.29 | × 1.096 | 0.3178 |
| Malpractice | 0.02 | × 0.536 | 0.0107 |
| Total RVUs | 0.6845 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Merced$22.86
Open 92587 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.35 | 1.017 |
| Practice expense | 0.29 | 1.096 |
| Malpractice | 0.02 | 0.536 |
(0.35 × 1.017 + 0.29 × 1.096 + 0.02 × 0.536) × $33.4009 = $22.86
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
92587 · Office / nonfacility
$22.86
Effective 2026-10-01
The base rate is $1.12 higher than on 2025-10-01, moving from $21.74 to $22.86 (5.2%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
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
January 1, 2026
RVU26A
$21.74changed to$22.86
- Conversion factor 32.3465 changed to 33.4009
- Practice expense RVU 0.28 changed to 0.29
- 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.
January 1, 2025
RVU25A
Earliest loaded release: $21.74
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 from | Office / nonfacility | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $22.86 | Not available in this setting | RVU26D |
| 2026-07-01 | $22.86 | Not available in this setting | RVU26C |
| 2026-04-01 | $22.86 | Not available in this setting | RVU26B |
| 2026-01-01 | $22.86 | Not available in this setting | RVU26A |
| 2025-10-01 | $21.74 | Not available in this setting | RVU25D |
| 2025-07-01 | $21.74 | Not available in this setting | RVU25C |
| 2025-04-01 | $21.74 | Not available in this setting | RVU25B |
| 2025-01-01 | $21.74 | Not available in this setting | RVU25A |
92587 billing questions
How do I choose between 92587 and 92588?
Use 92587 for the limited evaluation of 3 to 6 frequencies. Use 92588 when the service is a comprehensive or diagnostic evaluation rather than the limited assessment.
Is this code reported for one ear or both?
CMS prices 92587 as bilateral. Modifier 50 does not increase payment.
When should modifier 26 or TC be used?
Use modifier 26 for the professional interpretation and modifier TC for the technical service, including equipment and staff. Report the code without either modifier for the global service.
Does the code include interpretation and a report?
Yes. The limited evoked otoacoustic emissions service includes interpretation and a report; documentation should support the test performed and its findings.
Can 92587 be reported with a comprehensive hearing test?
It may be reported with 92557 when both the limited otoacoustic emissions assessment and the comprehensive hearing test are performed and documented as distinct services.
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.
