$14.76
92567 reports tympanometry alone. Choose 92550 when acoustic reflex threshold testing is also performed.
On this page
CMS RVU26D · Effective 2026-10-01
92550 Middle-ear testing Medicare reimbursement rates in Alabama
Reports tympanometry together with acoustic reflex threshold testing to assess middle-ear function, commonly during evaluation of hearing loss or suspected middle-ear dysfunction. Compare 92550 office and facility rates across CMS payment localities in Alabama.
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.
What does Medicare pay for 92550 in Alabama?
Alabama has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
$20.35
1 of 1 localities have a supported rate.
Payment area: Alabama
One mapped payment locality.
Facility setting
No supported rate
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Audiology
About 92550: Tympanometry with acoustic reflex thresholds
Reports tympanometry together with acoustic reflex threshold testing to assess middle-ear function, commonly during evaluation of hearing loss or suspected middle-ear dysfunction.
This service combines tympanometry, which measures middle-ear response to changes in ear-canal pressure, with acoustic reflex threshold testing, which checks the sound level that elicits a middle-ear muscle reflex. Audiologists commonly perform it in an audiology clinic or ENT practice when assessing hearing loss, abnormal middle-ear findings, or suspected eustachian tube or middle-ear dysfunction. Results help characterize middle-ear function alongside other hearing test findings.
Report 92550 when both tympanometry and reflex threshold measurements are performed; use a single-component code when only one of those tests is done. The record should identify the clinical reason for testing and include the findings for the measures performed. CMS prices this code as bilateral, so modifier 50 does not increase payment. The professional component modifier does not apply; do not split the service into professional and technical claims using modifier 26.
CMS billing rules for 92550
- 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 RVU0.35 · 54%
- Practice expense (office) RVU0.29 · 45%
- Malpractice RVU0.01 · 2%
180K
Medicare services in 2024 · #405 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.
92550 compared with similar codes
Office rates for Alabama, from the same CMS release.
$14.55
92568 reports acoustic reflex threshold testing alone; 92550 combines that testing with tympanometry.
$33.67
92557 covers comprehensive hearing testing, including air- and bone-conduction and speech audiometry. It does not replace 92550 when both middle-ear measures are performed.
Compare 92550 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
1 of 1 payment localities
Alabama →
Office / nonfacility
$20.35
Facility
Unavailable
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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 92550 in Alabama.
PPRRVU2026_Oct_nonQPP.csv
11,828
- Code
- 92550
- Physician work
- 0.35
- Practice expense
- 0.29
- Malpractice
- 0.01
GPCI2026.csv
4
- Locality
- Alabama
- Physician work
- 1.000
- Practice expense
- 0.875
- Malpractice
- 0.566
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.35 | × 1.000 | 0.3500 |
| Practice expense | 0.29 | × 0.875 | 0.2537 |
| Malpractice | 0.01 | × 0.566 | 0.0057 |
| Total RVUs | 0.6094 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Alabama$20.35
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.35 | 1 |
| Practice expense | 0.29 | 0.875 |
| Malpractice | 0.01 | 0.566 |
(0.35 × 1 + 0.29 × 0.875 + 0.01 × 0.566) × $33.4009 = $20.35
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.
92550 billing questions
When should 92550 be reported instead of 92567?
Report 92550 when tympanometry and acoustic reflex threshold testing are both performed. Use 92567 when the service is tympanometry alone.
Can the reflex threshold test be billed separately with 92550?
92550 combines tympanometry and reflex threshold testing. Do not separately report the reflex measurement for the same work.
Should modifier 50 be appended when both ears are tested?
No. CMS prices 92550 as bilateral, and modifier 50 does not increase payment.
Can modifier 26 be used for the interpretation?
No. The CMS component rule states that the professional component modifier does not apply to this service.
What documentation supports reporting 92550?
Document the reason for testing and findings for both the tympanometry and acoustic reflex threshold measures performed.
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.
11,82592549,,Cdp-sot 6 cond w/i&r mct&adt,A,,0.85,1.00,,1.00,NA,0.02,1.87,1.87,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,82692549,26,Cdp-sot 6 cond w/i&r mct&adt,A,,0.85,0.43,,0.43,,0.01,1.29,1.29,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,82792549,TC,Cdp-sot 6 cond w/i&r mct&adt,A,,0.00,0.57,,0.57,NA,0.01,0.58,0.58,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,02,0,99,0.00,0.00,0.00
11,82892550,,Tympanometry & reflex thresh,A,,0.35,0.29,,0.29,NA,0.01,0.65,0.65,7,XXX,0.00,0.00,0.00,0,2,0,0,0,9,,33.4009,02,0,99,0.00,0.00,0.00
11,82992551,,Pure tone hearing test air,N,+,0.00,0.39,,0.39,NA,0.01,0.40,0.40,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
11,83092552,,Pure tone audiometry air,A,,0.00,1.20,,1.20,NA,0.01,1.21,1.21,3,XXX,0.00,0.00,0.00,0,2,0,0,0,9,,33.4009,02,0,99,0.00,0.00,0.00
11,83192553,,Audiometry air & bone,A,,0.00,1.46,,1.46,NA,0.01,1.47,1.47,3,XXX,0.00,0.00,0.00,0,2,0,0,0,9,,33.4009,02,0,99,0.00,0.00,0.00
1ADDENDUM E. FINAL CY 2026 GEOGRAPHIC PRACTICE COST INDICES (GPCIs) BY STATE AND MEDICARE LOCALITY,,,,,,
2,,,,,,
3Medicare Administrative Contractor (MAC),State,Locality Number,Locality Name,2026 PW GPCI (with 1.0 Floor)***,2026 PE GPCI,2026 MP GPCI
410112,AL,00,ALABAMA,1.000,0.875,0.566
502102,AK,01,ALASKA*,1.500,1.065,0.551
603102,AZ,00,ARIZONA,1.000,0.969,0.856
707102,AR,13,ARKANSAS,1.000,0.859,0.515