92579 uses a sound-evoked head turn reinforced by a visual reward. 92582 uses a conditioned play response, such as placing or manipulating an object.
On this page
CMS RVU26D · Effective 2026-10-01
92579 in Redding
Office / nonfacility
$45.24
Base rate per service
Facility setting
$30.60
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 92579: Visual reinforcement hearing assessment
Visual reinforcement audiometry assesses hearing in young children who respond to sounds by turning toward a visual reward during behavioral testing.
An audiologist typically uses visual reinforcement audiometry for infants and young children who cannot reliably complete conventional pure-tone testing. The child learns to turn toward a sound source; a visual stimulus, such as an illuminated toy, reinforces that response. The method helps estimate hearing sensitivity through observed responses rather than requiring the child to describe what was heard. Testing is commonly performed in pediatric audiology clinics and hospital audiology departments.
Report the service when this visual-reinforcement response method is used, rather than play-based or picture-response testing. Documentation should identify the behavioral method, sound presentation and observed responses, and the findings obtained, including ear-specific results when available. CMS treats the service as a therapy service for component billing, so a professional-component modifier does not apply. The code is priced as bilateral; modifier 50 does not increase payment.
CMS billing rules for 92579
- Professional and technical components
- Therapy service: the professional component modifier does not apply.
- Bilateral procedures
- The code is already priced as bilateral; modifier 50 does not increase payment.
Where the value comes from
- Work RVU0.68 · 53%
- Practice expense (office) RVU0.60 · 47%
- Malpractice RVU0.01 · 1%
2.4K
Medicare services in 2024 · #2317 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.
92579 compared with similar codes
Office rates for Redding, from the same CMS release.
92583 uses picture identification or selection as the response method; 92579 reinforces a head turn toward the sound source with a visual cue.
92587 is an objective evoked auditory test. 92579 depends on the child’s observable behavioral response to presented sounds.
The same code, a different location
How does Redding compare?
In Bakersfield, the office rate for 92579 is $45.31—$0.07 higher than the $45.24 rate in Redding. Both use the same code, release and participation basis.
92579 across payment areas
Same release and payment basis · bars start at $0
Redding · This locality
$45.24
$45.31
$0.07 higher than Redding
$45.24
The same base rate than Redding
$45.24
The same base rate than Redding
$45.24
The same base rate than Redding
$45.24
The same base rate than Redding
$2.33 higher than Redding
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, 92579 ranges from $40.10 in Arkansas to $55.60 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 · 92579
Office
$45.24
Facility
$30.60
The same base rate than Redding for the office setting.
Merced
California · 92579
Office
$45.24
Facility
$30.60
The same base rate than Redding for the office setting.
Modesto
California · 92579
Office
$45.24
Facility
$30.60
The same base rate than Redding for the office setting.
Napa
California · 92579
Office
$50.73
Facility
$33.12
$5.49 higher than Redding for the office setting.
Oxnard-Thousand Oaks-Ventura
California · 92579
Office
$47.24
Facility
$31.45
$2.00 higher than Redding for the office setting.
Rest Of California
California · 92579
Office
$45.24
Facility
$30.60
The same base rate than Redding for the office setting.
Riverside-San Bernardino-Ontario
California · 92579
Office
$45.37
Facility
$30.73
$0.13 higher than Redding for the office setting.
Sacramento-Roseville-Folsom
California · 92579
Office
$47.02
Facility
$31.48
$1.78 higher than Redding for the office setting.
Salinas
California · 92579
Office
$46.82
Facility
$31.34
$1.58 higher than Redding for the office setting.
San Diego-Chula Vista-Carlsbad
California · 92579
Office
$47.54
Facility
$31.56
$2.30 higher than Redding for the office setting.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 92579
Office
$53.28
Facility
$34.44
$8.04 higher than Redding for the office setting.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 92579
Office
$53.27
Facility
$34.43
$8.03 higher than Redding for the office setting.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 92579
Office
$54.29
Facility
$35.02
$9.05 higher than Redding for the office setting.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 92579
Office
$54.24
Facility
$34.98
$9.00 higher than Redding for the office setting.
San Luis Obispo-Paso Robles
California · 92579
Office
$46.10
Facility
$30.89
$0.86 higher than Redding for the office setting.
Santa Cruz-Watsonville
California · 92579
Office
$47.72
Facility
$31.49
$2.48 higher than Redding for the office setting.
Santa Maria-Santa Barbara
California · 92579
Office
$46.89
Facility
$31.32
$1.65 higher than Redding for the office setting.
Santa Rosa-Petaluma
California · 92579
Office
$48.18
Facility
$31.78
$2.94 higher than Redding for the office setting.
Stockton
California · 92579
Office
$45.24
Facility
$30.60
The same base rate than Redding for the office setting.
Vallejo
California · 92579
Office
$50.71
Facility
$33.10
$5.47 higher than Redding for the office setting.
Visalia
California · 92579
Office
$45.24
Facility
$30.60
The same base rate than Redding for the office setting.
Yuba City
California · 92579
Office
$45.24
Facility
$30.60
The same base rate than Redding for the office setting.
Dc + Md/Va Suburbs
District of Columbia · 92579
Office
$47.92
Facility
$32.18
$2.68 higher than Redding for the office setting.
Miami
Florida · 92579
Office
$44.42
Facility
$30.51
$0.82 lower than Redding for the office setting.
Chicago
Illinois · 92579
Office
$43.78
Facility
$30.35
$1.46 lower than Redding for the office setting.
Manhattan
New York · 92579
Office
$47.98
Facility
$32.46
$2.74 higher than Redding for the office setting.
Alaska*
Alaska · 92579
Office
$55.60
Facility
$41.37
$10.36 higher than Redding for the office setting.
Alabama
Alabama · 92579
Office
$40.44
Facility
$28.75
$4.80 lower than Redding for the office setting.
Arkansas
Arkansas · 92579
Office
$40.10
Facility
$28.62
$5.14 lower than Redding for the office setting.
Arizona
Arizona · 92579
Office
$42.42
Facility
$29.47
$2.82 lower than Redding for the office setting.
Colorado
Colorado · 92579
Office
$44.57
Facility
$30.35
$0.67 lower than Redding for the office setting.
Connecticut
Connecticut · 92579
Office
$45.15
Facility
$30.77
$0.09 lower than Redding for the office setting.
Delaware
Delaware · 92579
Office
$42.93
Facility
$29.73
$2.31 lower than Redding for the office setting.
Fort Lauderdale
Florida · 92579
Office
$43.62
Facility
$30.08
$1.62 lower than Redding for the office setting.
Rest Of Florida
Florida · 92579
Office
$42.37
Facility
$29.60
$2.87 lower than Redding for the office setting.
Atlanta
Georgia · 92579
Office
$43.54
Facility
$29.97
$1.70 lower than Redding for the office setting.
Rest Of Georgia
Georgia · 92579
Office
$40.99
Facility
$29.07
$4.25 lower than Redding for the office setting.
Hawaii, Guam
Hawaii · 92579
Office
$45.69
Facility
$30.50
$0.45 higher than Redding for the office setting.
Iowa
Iowa · 92579
Office
$41.18
Facility
$28.96
$4.06 lower than Redding for the office setting.
Idaho
Idaho · 92579
Office
$41.31
Facility
$29.02
$3.93 lower than Redding for the office setting.
East St. Louis
Illinois · 92579
Office
$41.82
Facility
$29.53
$3.42 lower than Redding for the office setting.
Rest Of Illinois
Illinois · 92579
Office
$41.53
Facility
$29.33
$3.71 lower than Redding for the office setting.
Suburban Chicago
Illinois · 92579
Office
$44.05
Facility
$30.32
$1.19 lower than Redding for the office setting.
Indiana
Indiana · 92579
Office
$41.45
Facility
$29.07
$3.79 lower than Redding for the office setting.
Kansas
Kansas · 92579
Office
$41.00
Facility
$28.92
$4.24 lower than Redding for the office setting.
Kentucky
Kentucky · 92579
Office
$40.83
Facility
$28.96
$4.41 lower than Redding for the office setting.
New Orleans
Louisiana · 92579
Office
$41.95
Facility
$29.38
$3.29 lower than Redding for the office setting.
Rest Of Louisiana
Louisiana · 92579
Office
$40.77
Facility
$28.94
$4.47 lower than Redding for the office setting.
Metropolitan Boston
Massachusetts · 92579
Office
$47.87
Facility
$31.92
$2.63 higher than Redding for the office setting.
Rest Of Massachusetts
Massachusetts · 92579
Office
$44.44
Facility
$30.38
$0.80 lower than Redding for the office setting.
Baltimore/Surr. Cntys
Maryland · 92579
Office
$44.99
Facility
$30.66
$0.25 lower than Redding for the office setting.
Rest Of Maryland
Maryland · 92579
Office
$43.53
Facility
$30.01
$1.71 lower than Redding for the office setting.
Rest Of Maine
Maine · 92579
Office
$41.36
Facility
$29.07
$3.88 lower than Redding for the office setting.
Southern Maine
Maine · 92579
Office
$42.78
Facility
$29.54
$2.46 lower than Redding for the office setting.
Detroit
Michigan · 92579
Office
$42.61
Facility
$29.72
$2.63 lower than Redding for the office setting.
Rest Of Michigan
Michigan · 92579
Office
$41.39
Facility
$29.19
$3.85 lower than Redding for the office setting.
Minnesota
Minnesota · 92579
Office
$43.43
Facility
$29.69
$1.81 lower than Redding for the office setting.
Metropolitan Kansas City
Missouri · 92579
Office
$41.86
Facility
$29.31
$3.38 lower than Redding for the office setting.
Metropolitan St. Louis
Missouri · 92579
Office
$42.13
Facility
$29.41
$3.11 lower than Redding for the office setting.
Rest Of Missouri
Missouri · 92579
Office
$40.31
Facility
$28.80
$4.93 lower than Redding for the office setting.
Mississippi
Mississippi · 92579
Office
$40.21
Facility
$28.71
$5.03 lower than Redding for the office setting.
Montana**
Montana · 92579
Office
$43.09
Facility
$29.73
$2.15 lower than Redding for the office setting.
North Carolina
North Carolina · 92579
Office
$41.62
Facility
$29.16
$3.62 lower than Redding for the office setting.
North Dakota**
North Dakota · 92579
Office
$42.89
Facility
$29.53
$2.35 lower than Redding for the office setting.
Nebraska
Nebraska · 92579
Office
$41.34
Facility
$29.00
$3.90 lower than Redding for the office setting.
New Hampshire
New Hampshire · 92579
Office
$43.87
Facility
$29.96
$1.37 lower than Redding for the office setting.
Northern Nj
New Jersey · 92579
Office
$47.75
Facility
$32.25
$2.51 higher than Redding for the office setting.
Rest Of New Jersey
New Jersey · 92579
Office
$45.87
Facility
$31.28
$0.63 higher than Redding for the office setting.
New Mexico
New Mexico · 92579
Office
$41.49
Facility
$29.24
$3.75 lower than Redding for the office setting.
Nevada**
Nevada · 92579
Office
$43.05
Facility
$29.68
$2.19 lower than Redding for the office setting.
Nyc Suburbs/Long Island
New York · 92579
Office
$48.61
Facility
$32.73
$3.37 higher than Redding for the office setting.
Poughkpsie/N Nyc Suburbs
New York · 92579
Office
$46.08
Facility
$31.45
$0.84 higher than Redding for the office setting.
Queens
New York · 92579
Office
$48.34
Facility
$32.54
$3.10 higher than Redding for the office setting.
Rest Of New York
New York · 92579
Office
$41.99
Facility
$29.29
$3.25 lower than Redding for the office setting.
Ohio
Ohio · 92579
Office
$41.35
Facility
$29.15
$3.89 lower than Redding for the office setting.
Oklahoma
Oklahoma · 92579
Office
$40.87
Facility
$28.94
$4.37 lower than Redding for the office setting.
Portland
Oregon · 92579
Office
$45.59
Facility
$30.75
$0.35 higher than Redding for the office setting.
Rest Of Oregon
Oregon · 92579
Office
$42.91
Facility
$29.60
$2.33 lower than Redding for the office setting.
Metropolitan Philadelphia
Pennsylvania · 92579
Office
$44.38
Facility
$30.47
$0.86 lower than Redding for the office setting.
Rest Of Pennsylvania
Pennsylvania · 92579
Office
$41.43
Facility
$29.16
$3.81 lower than Redding for the office setting.
Puerto Rico
Puerto Rico · 92579
Office
$43.30
Facility
$29.80
$1.94 lower than Redding for the office setting.
Rhode Island
Rhode Island · 92579
Office
$44.14
Facility
$30.34
$1.10 lower than Redding for the office setting.
South Carolina
South Carolina · 92579
Office
$41.51
Facility
$29.17
$3.73 lower than Redding for the office setting.
South Dakota**
South Dakota · 92579
Office
$42.87
Facility
$29.51
$2.37 lower than Redding for the office setting.
Tennessee
Tennessee · 92579
Office
$41.11
Facility
$28.96
$4.13 lower than Redding for the office setting.
Austin
Texas · 92579
Office
$44.26
Facility
$30.12
$0.98 lower than Redding for the office setting.
Beaumont
Texas · 92579
Office
$41.26
Facility
$29.10
$3.98 lower than Redding for the office setting.
Brazoria
Texas · 92579
Office
$43.02
Facility
$29.77
$2.22 lower than Redding for the office setting.
Dallas
Texas · 92579
Office
$43.16
Facility
$29.86
$2.08 lower than Redding for the office setting.
Fort Worth
Texas · 92579
Office
$42.97
Facility
$29.79
$2.27 lower than Redding for the office setting.
Galveston
Texas · 92579
Office
$43.07
Facility
$29.80
$2.17 lower than Redding for the office setting.
Houston
Texas · 92579
Office
$43.25
Facility
$29.99
$1.99 lower than Redding for the office setting.
Rest Of Texas
Texas · 92579
Office
$42.03
Facility
$29.35
$3.21 lower than Redding for the office setting.
Utah
Utah · 92579
Office
$41.85
Facility
$29.29
$3.39 lower than Redding for the office setting.
Virginia
Virginia · 92579
Office
$42.65
Facility
$29.52
$2.59 lower than Redding for the office setting.
Virgin Islands
United States Virgin Islands · 92579
Office
$43.30
Facility
$29.80
$1.94 lower than Redding for the office setting.
Vermont
Vermont · 92579
Office
$42.72
Facility
$29.49
$2.52 lower than Redding for the office setting.
Rest Of Washington
Washington · 92579
Office
$44.36
Facility
$30.30
$0.88 lower than Redding for the office setting.
Seattle (King Cnty)
Washington · 92579
Office
$48.71
Facility
$32.32
$3.47 higher than Redding for the office setting.
Wisconsin
Wisconsin · 92579
Office
$42.01
Facility
$29.22
$3.23 lower than Redding for the office setting.
West Virginia
West Virginia · 92579
Office
$40.61
Facility
$29.00
$4.63 lower than Redding for the office setting.
Wyoming**
Wyoming · 92579
Office
$43.00
Facility
$29.64
$2.24 lower than Redding for the office setting.
See how rates vary across the country
92579 · 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.
$40.10
$55.60
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 | $55.60 | 1 |
| AL | $40.44 | 1 |
| AR | $40.10 | 1 |
| AZ | $42.42 | 1 |
| CA | $45.24–$54.29 | 29 |
| CO | $44.57 | 1 |
| CT | $45.15 | 1 |
| DC | $47.92 | 1 |
| DE | $42.93 | 1 |
| FL | $42.37–$44.42 | 3 |
| GA | $40.99–$43.54 | 2 |
| GU | $45.69 | 1 |
| HI | $45.69 | 1 |
| IA | $41.18 | 1 |
| ID | $41.31 | 1 |
| IL | $41.53–$44.05 | 4 |
| IN | $41.45 | 1 |
| KS | $41.00 | 1 |
| KY | $40.83 | 1 |
| LA | $40.77–$41.95 | 2 |
| MA | $44.44–$47.87 | 2 |
| MD | $43.53–$47.92 | 3 |
| ME | $41.36–$42.78 | 2 |
| MI | $41.39–$42.61 | 2 |
| MN | $43.43 | 1 |
| MO | $40.31–$42.13 | 3 |
| MS | $40.21 | 1 |
| MT | $43.09 | 1 |
| NC | $41.62 | 1 |
| ND | $42.89 | 1 |
| NE | $41.34 | 1 |
| NH | $43.87 | 1 |
| NJ | $45.87–$47.75 | 2 |
| NM | $41.49 | 1 |
| NV | $43.05 | 1 |
| NY | $41.99–$48.61 | 5 |
| OH | $41.35 | 1 |
| OK | $40.87 | 1 |
| OR | $42.91–$45.59 | 2 |
| PA | $41.43–$44.38 | 2 |
| PR | $43.30 | 1 |
| RI | $44.14 | 1 |
| SC | $41.51 | 1 |
| SD | $42.87 | 1 |
| TN | $41.11 | 1 |
| TX | $41.26–$44.26 | 8 |
| UT | $41.85 | 1 |
| VA | $42.65–$47.92 | 2 |
| VI | $43.30 | 1 |
| VT | $42.72 | 1 |
| WA | $44.36–$48.71 | 2 |
| WI | $42.01 | 1 |
| WV | $40.61 | 1 |
| WY | $43.00 | 1 |
Where does this rate apply?
Redding is a Medicare payment area. Our Census mapping connects it to 32 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.
Why are the office and facility amounts different?
For 92579 in Redding, the physician’s office rate is $45.24 and the facility-setting rate is $30.60: a difference of $14.64.
The calculation uses a different practice-expense RVU for each setting. Both amounts here are physician fee-schedule amounts. The facility figure does not include a hospital’s separate charges, so this comparison does not tell you the total cost of receiving care in each setting.
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 92579 in Redding. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$49.76
$45.24 × 110% = $49.76
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 92579 in Redding.
PPRRVU2026_Oct_nonQPP.csv
11,847
- Code
- 92579
- Physician work
- 0.68
- Practice expense
- 0.60
- Malpractice
- 0.01
GPCI2026.csv
19
- Locality
- Redding
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.68 | × 1.017 | 0.6916 |
| Practice expense | 0.60 | × 1.096 | 0.6576 |
| Malpractice | 0.01 | × 0.536 | 0.0054 |
| Total RVUs | 1.3545 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Redding$45.24
Open 92579 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.68 | 1.017 |
| Practice expense | 0.6 | 1.096 |
| Malpractice | 0.01 | 0.536 |
(0.68 × 1.017 + 0.6 × 1.096 + 0.01 × 0.536) × $33.4009 = $45.24
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.68 | 1.017 |
| Practice expense | 0.2 | 1.096 |
| Malpractice | 0.01 | 0.536 |
(0.68 × 1.017 + 0.2 × 1.096 + 0.01 × 0.536) × $33.4009 = $30.60
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
92579 · Office / nonfacility
$45.24
Effective 2026-10-01
The base rate is $0.71 higher than on 2025-10-01, moving from $44.53 to $45.24 (1.6%).
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
$44.53changed to$45.24
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 0.70 changed to 0.68
- Malpractice RVU 0.02 changed to 0.01
- 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: $44.53
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
92579 billing questions
When should visual reinforcement audiometry be chosen over play audiometry?
Use 92579 when the child’s response is conditioned by turning toward a sound for a visual reward. Use 92582 when the child can perform a conditioned play task, such as placing an object after hearing a sound.
Can modifier 50 be added when both ears are tested?
CMS prices 92579 as bilateral, so modifier 50 does not increase payment.
Should modifier 26 be reported?
No. CMS identifies this as a therapy service for component billing, and the professional-component modifier does not apply.
What documentation supports reporting 92579?
Document the visual-reinforcement method, sound presentation, the child’s responses, and the hearing findings obtained. Include ear-specific results when available.
How does 92579 differ from an evoked auditory test?
92579 measures behavioral responses to sounds reinforced by a visual cue. An evoked auditory test, such as 92587, evaluates auditory responses using an objective test method.
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.
