Ex for nonspeech device rx
Choose 92607 when the evaluation concerns a speech-generating device; 92605 concerns a nonspeech-generating communication device.
CMS RVU26D · Effective 2026-10-01
Office / nonfacility
$128.91
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.
Speech-language pathology
A speech-language pathologist evaluates a patient’s communication needs and access options to recommend a speech-generating device during the first hour of assessment.
A speech-language pathologist with augmentative and alternative communication expertise evaluates whether a speech-generating device can meet a patient’s communication needs. The assessment may address people with complex communication needs, such as someone with ALS or cerebral palsy, and consider communication abilities, access methods, device features, and trials of candidate systems. It is commonly performed in an outpatient therapy setting with the patient present.
Report 92607 for the first hour of the face-to-face evaluation; report 92608 for each additional 30 minutes when the evaluation continues. Documentation should identify the patient’s communication needs, assessment activities, device or access options considered, recommendation, and time spent. CMS classifies this as a therapy service, so the professional component modifier does not apply. For multiple therapy units on the same day, practice expense is reduced for the second and later units under the therapy multiple procedure payment reduction.
649
Medicare services in 2024 · #3331 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.
Office rates for Redding, from the same CMS release.
Ex for nonspeech device rx
Choose 92607 when the evaluation concerns a speech-generating device; 92605 concerns a nonspeech-generating communication device.
92607 represents the first hour of evaluation. 92608 represents each additional 30 minutes.
92607 evaluates communication needs and supports a device recommendation. 92609 covers services for using a speech-generating device, including programming or modification.
The same code, a different location
In Bakersfield, the office rate for 92607 is $129.06—$0.15 higher than the $128.91 rate in Redding. Both use the same code, release and participation basis.
Same release and payment basis · bars start at $0
Redding · This locality
$128.91
$129.06
$0.15 higher than Redding
$128.91
The same base rate than Redding
$128.92
$0.01 higher than Redding
$128.91
The same base rate than Redding
$128.91
The same base rate than Redding
$6.76 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, 92607 ranges from $113.61 in Arkansas to $156.90 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.
California · 92607
Office
$128.91
Facility
Unavailable
The same base rate than Redding for the office setting.
California · 92607
Office
$128.91
Facility
Unavailable
The same base rate than Redding for the office setting.
California · 92607
Office
$128.91
Facility
Unavailable
The same base rate than Redding for the office setting.
California · 92607
Office
$145.09
Facility
Unavailable
$16.18 higher than Redding for the office setting.
California · 92607
Office
$134.79
Facility
Unavailable
$5.88 higher than Redding for the office setting.
California · 92607
Office
$128.91
Facility
Unavailable
The same base rate than Redding for the office setting.
California · 92607
Office
$129.08
Facility
Unavailable
$0.17 higher than Redding for the office setting.
California · 92607
Office
$134.12
Facility
Unavailable
$5.21 higher than Redding for the office setting.
California · 92607
Office
$133.57
Facility
Unavailable
$4.66 higher than Redding for the office setting.
California · 92607
Office
$135.73
Facility
Unavailable
$6.82 higher than Redding for the office setting.
California · 92607
Office
$152.59
Facility
Unavailable
$23.68 higher than Redding for the office setting.
California · 92607
Office
$152.58
Facility
Unavailable
$23.67 higher than Redding for the office setting.
California · 92607
Office
$155.46
Facility
Unavailable
$26.55 higher than Redding for the office setting.
California · 92607
Office
$155.42
Facility
Unavailable
$26.51 higher than Redding for the office setting.
California · 92607
Office
$131.50
Facility
Unavailable
$2.59 higher than Redding for the office setting.
California · 92607
Office
$136.32
Facility
Unavailable
$7.41 higher than Redding for the office setting.
California · 92607
Office
$133.80
Facility
Unavailable
$4.89 higher than Redding for the office setting.
California · 92607
Office
$137.65
Facility
Unavailable
$8.74 higher than Redding for the office setting.
California · 92607
Office
$128.91
Facility
Unavailable
The same base rate than Redding for the office setting.
California · 92607
Office
$145.08
Facility
Unavailable
$16.17 higher than Redding for the office setting.
California · 92607
Office
$128.91
Facility
Unavailable
The same base rate than Redding for the office setting.
California · 92607
Office
$128.91
Facility
Unavailable
The same base rate than Redding for the office setting.
District of Columbia · 92607
Office
$136.32
Facility
Unavailable
$7.41 higher than Redding for the office setting.
Florida · 92607
Office
$125.22
Facility
Unavailable
$3.69 lower than Redding for the office setting.
Illinois · 92607
Office
$123.41
Facility
Unavailable
$5.50 lower than Redding for the office setting.
New York · 92607
Office
$136.14
Facility
Unavailable
$7.23 higher than Redding for the office setting.
Alaska · 92607
Office
$156.90
Facility
Unavailable
$27.99 higher than Redding for the office setting.
Alabama · 92607
Office
$114.59
Facility
Unavailable
$14.32 lower than Redding for the office setting.
Arkansas · 92607
Office
$113.61
Facility
Unavailable
$15.30 lower than Redding for the office setting.
Arizona · 92607
Office
$120.34
Facility
Unavailable
$8.57 lower than Redding for the office setting.
Colorado · 92607
Office
$126.76
Facility
Unavailable
$2.15 lower than Redding for the office setting.
Connecticut · 92607
Office
$128.18
Facility
Unavailable
$0.73 lower than Redding for the office setting.
Delaware · 92607
Office
$121.80
Facility
Unavailable
$7.11 lower than Redding for the office setting.
Florida · 92607
Office
$123.30
Facility
Unavailable
$5.61 lower than Redding for the office setting.
Florida · 92607
Office
$119.77
Facility
Unavailable
$9.14 lower than Redding for the office setting.
Georgia · 92607
Office
$123.46
Facility
Unavailable
$5.45 lower than Redding for the office setting.
Georgia · 92607
Office
$115.82
Facility
Unavailable
$13.09 lower than Redding for the office setting.
Hawaii · 92607
Office
$130.34
Facility
Unavailable
$1.43 higher than Redding for the office setting.
Iowa · 92607
Office
$116.94
Facility
Unavailable
$11.97 lower than Redding for the office setting.
Idaho · 92607
Office
$117.26
Facility
Unavailable
$11.65 lower than Redding for the office setting.
Illinois · 92607
Office
$117.78
Facility
Unavailable
$11.13 lower than Redding for the office setting.
Illinois · 92607
Office
$117.20
Facility
Unavailable
$11.71 lower than Redding for the office setting.
Illinois · 92607
Office
$124.56
Facility
Unavailable
$4.35 lower than Redding for the office setting.
Indiana · 92607
Office
$117.69
Facility
Unavailable
$11.22 lower than Redding for the office setting.
Kansas · 92607
Office
$116.31
Facility
Unavailable
$12.60 lower than Redding for the office setting.
Kentucky · 92607
Office
$115.55
Facility
Unavailable
$13.36 lower than Redding for the office setting.
Louisiana · 92607
Office
$118.75
Facility
Unavailable
$10.16 lower than Redding for the office setting.
Louisiana · 92607
Office
$115.32
Facility
Unavailable
$13.59 lower than Redding for the office setting.
Massachusetts · 92607
Office
$136.41
Facility
Unavailable
$7.50 higher than Redding for the office setting.
Massachusetts · 92607
Office
$126.35
Facility
Unavailable
$2.56 lower than Redding for the office setting.
Maryland · 92607
Office
$127.70
Facility
Unavailable
$1.21 lower than Redding for the office setting.
Maryland · 92607
Office
$123.56
Facility
Unavailable
$5.35 lower than Redding for the office setting.
Maine · 92607
Office
$117.31
Facility
Unavailable
$11.60 lower than Redding for the office setting.
Maine · 92607
Office
$121.58
Facility
Unavailable
$7.33 lower than Redding for the office setting.
Michigan · 92607
Office
$120.37
Facility
Unavailable
$8.54 lower than Redding for the office setting.
Michigan · 92607
Office
$117.06
Facility
Unavailable
$11.85 lower than Redding for the office setting.
Minnesota · 92607
Office
$123.76
Facility
Unavailable
$5.15 lower than Redding for the office setting.
Missouri · 92607
Office
$118.57
Facility
Unavailable
$10.34 lower than Redding for the office setting.
Missouri · 92607
Office
$119.36
Facility
Unavailable
$9.55 lower than Redding for the office setting.
Missouri · 92607
Office
$113.94
Facility
Unavailable
$14.97 lower than Redding for the office setting.
Mississippi · 92607
Office
$113.80
Facility
Unavailable
$15.11 lower than Redding for the office setting.
Montana · 92607
Office
$122.25
Facility
Unavailable
$6.66 lower than Redding for the office setting.
North Carolina · 92607
Office
$118.10
Facility
Unavailable
$10.81 lower than Redding for the office setting.
North Dakota · 92607
Office
$122.05
Facility
Unavailable
$6.86 lower than Redding for the office setting.
Nebraska · 92607
Office
$117.41
Facility
Unavailable
$11.50 lower than Redding for the office setting.
New Hampshire · 92607
Office
$124.67
Facility
Unavailable
$4.24 lower than Redding for the office setting.
New Jersey · 92607
Office
$135.78
Facility
Unavailable
$6.87 higher than Redding for the office setting.
New Jersey · 92607
Office
$130.28
Facility
Unavailable
$1.37 higher than Redding for the office setting.
New Mexico · 92607
Office
$117.32
Facility
Unavailable
$11.59 lower than Redding for the office setting.
Nevada · 92607
Office
$122.25
Facility
Unavailable
$6.66 lower than Redding for the office setting.
New York · 92607
Office
$137.85
Facility
Unavailable
$8.94 higher than Redding for the office setting.
New York · 92607
Office
$130.81
Facility
Unavailable
$1.90 higher than Redding for the office setting.
New York · 92607
Office
$137.29
Facility
Unavailable
$8.38 higher than Redding for the office setting.
New York · 92607
Office
$119.14
Facility
Unavailable
$9.77 lower than Redding for the office setting.
Ohio · 92607
Office
$117.02
Facility
Unavailable
$11.89 lower than Redding for the office setting.
Oklahoma · 92607
Office
$115.74
Facility
Unavailable
$13.17 lower than Redding for the office setting.
Oregon · 92607
Office
$129.82
Facility
Unavailable
$0.91 higher than Redding for the office setting.
Oregon · 92607
Office
$121.91
Facility
Unavailable
$7.00 lower than Redding for the office setting.
Pennsylvania · 92607
Office
$125.89
Facility
Unavailable
$3.02 lower than Redding for the office setting.
Pennsylvania · 92607
Office
$117.30
Facility
Unavailable
$11.61 lower than Redding for the office setting.
Puerto Rico · 92607
Office
$122.90
Facility
Unavailable
$6.01 lower than Redding for the office setting.
Rhode Island · 92607
Office
$125.37
Facility
Unavailable
$3.54 lower than Redding for the office setting.
South Carolina · 92607
Office
$117.63
Facility
Unavailable
$11.28 lower than Redding for the office setting.
South Dakota · 92607
Office
$122.03
Facility
Unavailable
$6.88 lower than Redding for the office setting.
Tennessee · 92607
Office
$116.62
Facility
Unavailable
$12.29 lower than Redding for the office setting.
Texas · 92607
Office
$125.82
Facility
Unavailable
$3.09 lower than Redding for the office setting.
Texas · 92607
Office
$116.81
Facility
Unavailable
$12.10 lower than Redding for the office setting.
Texas · 92607
Office
$122.13
Facility
Unavailable
$6.78 lower than Redding for the office setting.
Texas · 92607
Office
$122.52
Facility
Unavailable
$6.39 lower than Redding for the office setting.
Texas · 92607
Office
$121.92
Facility
Unavailable
$6.99 lower than Redding for the office setting.
Texas · 92607
Office
$122.26
Facility
Unavailable
$6.65 lower than Redding for the office setting.
Texas · 92607
Office
$122.45
Facility
Unavailable
$6.46 lower than Redding for the office setting.
Texas · 92607
Office
$119.15
Facility
Unavailable
$9.76 lower than Redding for the office setting.
Utah · 92607
Office
$118.61
Facility
Unavailable
$10.30 lower than Redding for the office setting.
Virginia · 92607
Office
$121.13
Facility
Unavailable
$7.78 lower than Redding for the office setting.
United States Virgin Islands · 92607
Office
$122.90
Facility
Unavailable
$6.01 lower than Redding for the office setting.
Vermont · 92607
Office
$121.48
Facility
Unavailable
$7.43 lower than Redding for the office setting.
Washington · 92607
Office
$126.16
Facility
Unavailable
$2.75 lower than Redding for the office setting.
Washington · 92607
Office
$138.92
Facility
Unavailable
$10.01 higher than Redding for the office setting.
Wisconsin · 92607
Office
$119.49
Facility
Unavailable
$9.42 lower than Redding for the office setting.
West Virginia · 92607
Office
$114.52
Facility
Unavailable
$14.39 lower than Redding for the office setting.
Wyoming · 92607
Office
$122.16
Facility
Unavailable
$6.75 lower than Redding for the office setting.
92607 · 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.
$113.61
$156.90
Color shows the midpoint of each state’s locality range.
| State / territory | Rate range | Localities |
|---|---|---|
| AK | $156.90 | 1 |
| AL | $114.59 | 1 |
| AR | $113.61 | 1 |
| AZ | $120.34 | 1 |
| CA | $128.91–$155.46 | 29 |
| CO | $126.76 | 1 |
| CT | $128.18 | 1 |
| DC | $136.32 | 1 |
| DE | $121.80 | 1 |
| FL | $119.77–$125.22 | 3 |
| GA | $115.82–$123.46 | 2 |
| GU | $130.34 | 1 |
| HI | $130.34 | 1 |
| IA | $116.94 | 1 |
| ID | $117.26 | 1 |
| IL | $117.20–$124.56 | 4 |
| IN | $117.69 | 1 |
| KS | $116.31 | 1 |
| KY | $115.55 | 1 |
| LA | $115.32–$118.75 | 2 |
| MA | $126.35–$136.41 | 2 |
| MD | $123.56–$136.32 | 3 |
| ME | $117.31–$121.58 | 2 |
| MI | $117.06–$120.37 | 2 |
| MN | $123.76 | 1 |
| MO | $113.94–$119.36 | 3 |
| MS | $113.80 | 1 |
| MT | $122.25 | 1 |
| NC | $118.10 | 1 |
| ND | $122.05 | 1 |
| NE | $117.41 | 1 |
| NH | $124.67 | 1 |
| NJ | $130.28–$135.78 | 2 |
| NM | $117.32 | 1 |
| NV | $122.25 | 1 |
| NY | $119.14–$137.85 | 5 |
| OH | $117.02 | 1 |
| OK | $115.74 | 1 |
| OR | $121.91–$129.82 | 2 |
| PA | $117.30–$125.89 | 2 |
| PR | $122.90 | 1 |
| RI | $125.37 | 1 |
| SC | $117.63 | 1 |
| SD | $122.03 | 1 |
| TN | $116.62 | 1 |
| TX | $116.81–$125.82 | 8 |
| UT | $118.61 | 1 |
| VA | $121.13–$136.32 | 2 |
| VI | $122.90 | 1 |
| VT | $121.48 | 1 |
| WA | $126.16–$138.92 | 2 |
| WI | $119.49 | 1 |
| WV | $114.52 | 1 |
| WY | $122.16 | 1 |
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.
Use this rate
Turn a percentage into dollars for 92607 in Redding. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$141.80
$128.91 × 110% = $141.80
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.
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 92607 in Redding.
PPRRVU2026_Oct_nonQPP.csv
11,865
GPCI2026.csv
19
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.85 | × 1.017 | 1.8814 |
| Practice expense | 1.80 | × 1.096 | 1.9728 |
| Malpractice | 0.01 | × 0.536 | 0.0054 |
| Total RVUs | 3.8596 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Redding$128.91
Open 92607 in the RVU calculator →
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.85 | 1.017 |
| Practice expense | 1.8 | 1.096 |
| Malpractice | 0.01 | 0.536 |
(1.85 × 1.017 + 1.8 × 1.096 + 0.01 × 0.536) × $33.4009 = $128.91
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.
92607 · Office / nonfacility
$128.91
Effective 2026-10-01
The base rate is $2.10 higher than on 2025-10-01, moving from $126.81 to $128.91 (1.7%).
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.
January 1, 2026
RVU26A
$126.81changed to$128.91
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
Earliest loaded release: $126.81
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.
| Effective from | Office / nonfacility | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $128.91 | Not available in this setting | RVU26D |
| 2026-07-01 | $128.91 | Not available in this setting | RVU26C |
| 2026-04-01 | $128.91 | Not available in this setting | RVU26B |
| 2026-01-01 | $128.91 | Not available in this setting | RVU26A |
| 2025-10-01 | $126.81 | Not available in this setting | RVU25D |
| 2025-07-01 | $126.81 | Not available in this setting | RVU25C |
| 2025-04-01 | $126.81 | Not available in this setting | RVU25B |
| 2025-01-01 | $126.81 | Not available in this setting | RVU25A |
92607 covers evaluation to recommend a speech-generating device. 92605 is for evaluating a prescription for a nonspeech-generating communication device.
92608 is reported for each additional 30 minutes of the speech-generating device evaluation after the first hour represented by 92607.
No. It covers evaluation for a device recommendation; 92609 describes services involving use of a speech-generating device, including programming or modification.
No. CMS identifies 92607 as a therapy service for which the professional component modifier does not apply.
Document face-to-face evaluation time and the communication needs, assessment activities, access methods or candidate devices considered, and resulting recommendation.
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.