$52.60
92555 captures speech-threshold testing alone; 92556 also includes speech-recognition testing.
On this page
CMS RVU26D · Effective 2026-10-01
92555 Speech audiometry Medicare reimbursement rates in Hawaii
Reports speech-threshold testing that measures the softest level at which a patient can recognize spoken test words in each ear. Compare 92555 office and facility rates across CMS payment localities in Hawaii.
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 92555 in Hawaii?
Hawaii 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
$33.61
1 of 1 localities have a supported rate.
Payment area: Hawaii, Guam
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 92555: Speech reception threshold testing
Reports speech-threshold testing that measures the softest level at which a patient can recognize spoken test words in each ear.
An audiologist typically presents speech materials, often spondee words, at varying loudness levels to determine the patient’s speech reception threshold. The test helps characterize hearing and compare speech responses with pure-tone findings. It is performed in outpatient audiology and otolaryngology settings, generally as part of a diagnostic hearing evaluation.
Select this code when the service measures speech threshold without the additional speech-recognition testing represented by broader speech-audiometry services. Document the test performed and the resulting threshold for each ear. CMS identifies this as a technical-component-only code; a separate code represents interpretation when furnished and supported. The code is priced as bilateral, so modifier 50 does not increase payment. Choose a comprehensive audiometry code when the encounter includes the broader set of measures described by that code rather than reporting this threshold test as though it covered them.
CMS billing rules for 92555
- Professional and technical components
- Technical-component-only code: a separate code covers interpretation.
- Bilateral procedures
- The code is already priced as bilateral; modifier 50 does not increase payment.
Where the value comes from
- Work RVU0.00 · 0%
- Practice expense (office) RVU0.88 · 99%
- Malpractice RVU0.01 · 1%
14.7K
Medicare services in 2024 · #1261 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.
92555 compared with similar codes
Office rates for Hawaii, from the same CMS release.
$37.70
92557 describes a comprehensive audiometry evaluation with pure-tone thresholds and speech measures, rather than speech-threshold testing alone.
$55.64
92553 measures pure-tone thresholds using air and bone conduction. It does not represent the speech-threshold measurement reported with 92555.
92551
No office ratePure tone hearing test air
92551 is a pure-tone hearing screening service; 92555 is diagnostic speech-threshold testing.
Compare 92555 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
Hawaii, Guam →
Office / nonfacility
$33.61
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 92555 in Hawaii, Guam.
PPRRVU2026_Oct_nonQPP.csv
11,832
- Code
- 92555
- Physician work
- 0.00
- Practice expense
- 0.88
- Malpractice
- 0.01
GPCI2026.csv
46
- Locality
- Hawaii, Guam
- Physician work
- 1.000
- Practice expense
- 1.137
- Malpractice
- 0.579
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.00 | × 1.000 | 0.0000 |
| Practice expense | 0.88 | × 1.137 | 1.0006 |
| Malpractice | 0.01 | × 0.579 | 0.0058 |
| Total RVUs | 1.0064 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Hawaii, Guam$33.61
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0 | 1 |
| Practice expense | 0.88 | 1.137 |
| Malpractice | 0.01 | 0.579 |
(0 × 1 + 0.88 × 1.137 + 0.01 × 0.579) × $33.4009 = $33.61
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.
92555 billing questions
When should 92555 be used instead of 92556?
Use 92555 for speech-threshold measurement alone. Use 92556 when speech-recognition testing is also performed.
Does 92555 include interpretation?
No. CMS identifies 92555 as technical-component-only; a separate code represents interpretation when it is furnished and documented.
Should modifier 50 be appended for testing both ears?
The code is already priced as bilateral, and modifier 50 does not increase payment.
How does 92555 differ from 92557?
92555 reports speech-threshold testing alone. 92557 represents a comprehensive audiometry evaluation that includes pure-tone thresholds and speech measures.
What documentation supports 92555?
Record that speech-threshold testing was performed and document the result for each ear. The record should distinguish threshold measurement from speech-recognition testing.
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.
11,82992551,,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
11,83292555,,Speech threshold audiometry,A,,0.00,0.88,,0.88,NA,0.01,0.89,0.89,3,XXX,0.00,0.00,0.00,0,2,0,0,0,9,,33.4009,02,0,99,0.00,0.00,0.00
11,83392556,,Speech audiometry complete,A,,0.00,1.38,,1.38,NA,0.01,1.39,1.39,3,XXX,0.00,0.00,0.00,0,2,0,0,0,9,,33.4009,02,0,99,0.00,0.00,0.00
11,83492557,,Comprehensive hearing test,A,,0.60,0.46,,0.16,,0.01,1.07,0.77,7,XXX,0.00,0.00,0.00,0,2,0,0,0,9,,33.4009,02,0,99,0.00,0.00,0.00
11,83592558,,Evoked auditory test qual,X,+,0.17,0.11,,0.04,,0.01,0.29,0.22,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
4309102,FL,99,REST OF FLORIDA,1.000,0.956,1.503
4410212,GA,01,ATLANTA,1.003,1.016,1.201
4510212,GA,99,REST OF GEORGIA,1.000,0.892,1.192
4601212,HI,01,"HAWAII, GUAM",1.000,1.137,0.579
4702202,ID,00,IDAHO,1.000,0.920,0.473
4806102,IL,16,CHICAGO,1.007,1.005,2.295
4906102,IL,12,EAST ST. LOUIS,1.000,0.920,2.014