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CMS RVU26D · Effective 2026-10-01

92550 Middle-ear testing Medicare reimbursement rates in Florida

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 Florida.

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 Florida?

Florida has 3 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 3 payment areas shown below, using the same CMS release.

Office / nonfacility

$21.45–$22.62

3 of 3 localities have a supported rate.

Lowest: Rest Of Florida

Highest: Miami

A spread of $1.17 per service.

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.

Find 92550 in your payment locality →

Where 92550 pays more and less in Florida

3 payment localities

$21.45 to $22.62

$21.45$22.04$22.62
One dot per payment locality, office / nonfacility. Hover a dot to see the locality; select it to open that rate.

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 Florida, from the same CMS release.

92567

Tympanometry

Middle ear pressure and mobility

$15.80–$16.91

92567 reports tympanometry alone. Choose 92550 when acoustic reflex threshold testing is also performed.

92568

Acoustic reflex

Threshold measurement

$15.30–$16.09

92568 reports acoustic reflex threshold testing alone; 92550 combines that testing with tympanometry.

92557

Comprehensive hearing test

Air, bone, and speech testing

$35.23–$36.88

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.

3 of 3 payment localities

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

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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.

RVUs for 92550PPRRVU2026_Oct_nonQPP.csv, line 11,828 (RVU26D)