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CMS RVU26D · Effective 2026-10-01

92567 Tympanometry Medicare reimbursement rates in Connecticut

Measures eardrum mobility and middle ear pressure with a pressurized ear canal probe when evaluating effusion, eustachian tube dysfunction, or conductive hearing loss. Compare 92567 office and facility rates across CMS payment localities in Connecticut.

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 92567 in Connecticut?

Connecticut 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

$16.93

1 of 1 localities have a supported rate.

Payment area: Connecticut

One mapped payment locality.

Facility setting

$9.02

1 of 1 localities have a supported rate.

Payment area: Connecticut

One mapped payment locality.

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.

Find 92567 in your payment locality →

Audiology

About 92567: Tympanometry middle ear testing

Measures eardrum mobility and middle ear pressure with a pressurized ear canal probe when evaluating effusion, eustachian tube dysfunction, or conductive hearing loss.

Tympanometry uses a sealed ear canal probe to vary air pressure and record how the tympanic membrane and middle ear system respond. The tympanogram helps assess middle ear fluid, negative pressure from eustachian tube dysfunction, and possible perforation or a patent ventilation tube when ear canal volume is unusually large. Audiologists, otolaryngologists, pediatricians, and primary care practices perform the test, usually in an office, sometimes alongside pure tone audiometry or after obstructing cerumen is removed.

Report one unit for testing both ears. CMS already prices 92567 as bilateral, so modifier 50 adds no payment; use modifier 52 to identify a reduced service when only one ear is tested. CMS classifies the code as a therapy service for its component indicator, so do not split the test into claims with modifiers 26 and TC. Document findings for each ear, including ear canal volume and measurable peak pressure and compliance, or a flat tracing if no peak is present. Use 92550 for a combined tympanometry and acoustic reflex threshold battery; 92570 includes reflex decay testing as well.

CMS billing rules for 92567

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 RVU0.20 · 42%
  • Practice expense (office) RVU0.27 · 56%
  • Malpractice RVU0.01 · 2%

990.7K

Medicare services in 2024 · #143 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.

92567 compared with similar codes

Office rates for Connecticut, from the same CMS release.

92550

Middle-ear testing

Tympanometry and reflex thresholds

$22.76

92567 is tympanometry alone. For a combined tympanometry and acoustic reflex threshold battery, report 92550 rather than separate 92567 and 92568 codes.

92570

Immittance testing

Tympanometry and reflex measures

$32.81

92570 includes tympanometry, acoustic reflex thresholds, and reflex decay. Choose it when all three are performed; use 92567 for tympanometry alone or 92550 when thresholds are added without decay.

92568

Acoustic reflex

Threshold measurement

$16.04

92568 measures acoustic reflex thresholds rather than eardrum mobility. For a combined tympanometry and reflex threshold battery, use 92550 instead of reporting the tests separately.

Compare 92567 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

Office and facility base rates · shared scale starting at $0

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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 92567 in Connecticut.

PPRRVU2026_Oct_nonQPP.csv

11,839

Code
92567
Physician work
0.20
Practice expense
0.27
Malpractice
0.01

GPCI2026.csv

38

Locality
Connecticut
Physician work
1.020
Practice expense
1.077
Malpractice
1.210
Office / nonfacility calculation for 92567 in Connecticut
ComponentRVULocality factorAdjusted
Physician work0.20× 1.0200.2040
Practice expense0.27× 1.0770.2908
Malpractice0.01× 1.2100.0121
Total RVUs0.5069
Conversion factor× 33.4009

Office / nonfacility rate, Connecticut$16.93

Values as parsed from CMS release RVU26D, effective 2026-10-01. The amount is rounded to the nearest cent only at the end.
Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work0.21.02
Practice expense0.271.077
Malpractice0.011.21

(0.2 × 1.02 + 0.27 × 1.077 + 0.01 × 1.21) × $33.4009 = $16.93

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work0.21.02
Practice expense0.051.077
Malpractice0.011.21

(0.2 × 1.02 + 0.05 × 1.077 + 0.01 × 1.21) × $33.4009 = $9.02

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.

92567 billing questions

Can 92567 and 92568 be billed together for a combined test?

Report 92550 rather than separate 92567 and 92568 codes when tympanometry and acoustic reflex thresholds are performed as one battery.

How is a test on only one ear reported?

Report one unit with modifier 52 for a unilateral test. Do not append modifier 50: CMS already prices 92567 as bilateral.

Can a physician bill 92567-26 for interpreting a tympanogram performed elsewhere?

No. CMS does not recognize a professional component modifier for 92567, so an interpretation alone does not support a 92567-26 claim.

Is tympanometry separately billable with comprehensive audiometry 92557?

Yes. Comprehensive audiometry does not include tympanometry, so 92567 may be reported with 92557 when both tests are performed and documented.

What documentation supports 92567?

Keep the tympanogram or recorded findings for each tested ear, including ear canal volume and any measurable peak pressure and compliance. Document a flat tracing when no peak is present and include an interpretation.

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 92567PPRRVU2026_Oct_nonQPP.csv, line 11,839 (RVU26D)
Geographic factors for ConnecticutGPCI2026.csv, line 38 (RVU26D)