$44.25
Choose 92553 when air and bone thresholds are obtained without complete speech audiometry. When speech reception threshold and word recognition are also tested, report 92557 instead of separate 92553 and 92556.
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CMS RVU26D · Effective 2026-10-01
92557 Comprehensive hearing test Medicare reimbursement rates in Kansas
Diagnostic hearing evaluation combining air and bone conduction thresholds with speech reception and word recognition testing, reported as one bilateral service. Compare 92557 office and facility rates across CMS payment localities in Kansas.
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 92557 in Kansas?
Kansas 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
$34.10
1 of 1 localities have a supported rate.
Payment area: Kansas
One mapped payment locality.
Facility setting
$25.04
1 of 1 localities have a supported rate.
Payment area: Kansas
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.
Audiology
About 92557: Comprehensive pure tone and speech audiometry
Diagnostic hearing evaluation combining air and bone conduction thresholds with speech reception and word recognition testing, reported as one bilateral service.
This diagnostic audiogram measures pure tone air and bone conduction thresholds across test frequencies, with masking when needed. It also measures a speech reception threshold and word recognition at levels above that threshold. Audiologists typically perform the testing in a sound booth at an ENT practice, hospital outpatient audiology department, or audiology clinic. Common indications include suspected hearing loss, tinnitus, asymmetric hearing loss, sudden hearing loss, and monitoring for ototoxic effects.
Report one unit when the pure tone and complete speech portions are performed for both ears. The record should show the air and bone thresholds, speech reception thresholds, word recognition scores, any masking used, and interpretation. Do not separately report 92553 or 92556 for testing included in 92557. CMS identifies this as a therapy service for which the professional component modifier does not apply, so modifier 26 is not used to bill an interpretation alone. CMS prices the service as bilateral; modifier 50 does not increase payment. If testing is limited to one ear, report the reduced service with modifier 52.
CMS billing rules for 92557
- 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 RVU0.60 · 56%
- Practice expense (office) RVU0.46 · 43%
- Malpractice RVU0.01 · 1%
1.3M
Medicare services in 2024 · #128 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.
92557 compared with similar codes
Office rates for Kansas, from the same CMS release.
$41.84
92556 covers speech reception threshold and word recognition without pure tone thresholds. When air and bone thresholds are also obtained, report 92557 instead of the separate component codes.
92551
No office ratePure tone hearing test air
92551 screens hearing using air conduction pure tones. 92557 obtains diagnostic air and bone thresholds together with speech reception and word recognition results.
$20.62
92550 assesses middle ear function with tympanometry and acoustic reflex thresholds, rather than measuring hearing thresholds. It may be reported alongside 92557 when both services are performed.
Compare 92557 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
Kansas →
Office / nonfacility
$34.10
Facility
$25.04
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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 92557 in Kansas.
PPRRVU2026_Oct_nonQPP.csv
11,834
- Code
- 92557
- Physician work
- 0.60
- Practice expense
- 0.46
- Malpractice
- 0.01
GPCI2026.csv
54
- Locality
- Kansas
- Physician work
- 1.000
- Practice expense
- 0.904
- Malpractice
- 0.504
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.60 | × 1.000 | 0.6000 |
| Practice expense | 0.46 | × 0.904 | 0.4158 |
| Malpractice | 0.01 | × 0.504 | 0.0050 |
| Total RVUs | 1.0209 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Kansas$34.10
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.6 | 1 |
| Practice expense | 0.46 | 0.904 |
| Malpractice | 0.01 | 0.504 |
(0.6 × 1 + 0.46 × 0.904 + 0.01 × 0.504) × $33.4009 = $34.10
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.6 | 1 |
| Practice expense | 0.16 | 0.904 |
| Malpractice | 0.01 | 0.504 |
(0.6 × 1 + 0.16 × 0.904 + 0.01 × 0.504) × $33.4009 = $25.04
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.
92557 billing questions
Can 92553 or 92556 be billed with 92557 for the same testing?
No. 92557 combines air and bone pure tone audiometry with complete speech audiometry. Reporting either component code for those same tests would duplicate the service.
Should modifier 50 or RT/LT be added when both ears are tested?
No. One unit of 92557 represents bilateral testing, and CMS states that modifier 50 does not increase payment.
What if only one ear could be tested?
Append modifier 52 to indicate that the bilateral service was reduced to testing one ear. Document which ear was tested and why the other ear was not.
Is tympanometry included?
No. Tympanometry is separate; depending on the immittance measures performed, 92550, 92567, or 92570 may be reported at the same visit.
Can modifier 26 be used when a physician interprets an audiogram performed elsewhere?
No. CMS identifies 92557 as a therapy service for which the professional component modifier does not apply; an interpretation alone is not billed as 92557-26.
What if speech testing is not completed?
If only air and bone thresholds are obtained, report 92553 instead. Complete speech audiometry, including speech reception threshold and word recognition, is needed for 92557.
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.
11,83192553,,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
11,83692562,,Loudness balance test,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
11,83792563,,Tone decay hearing test,A,,0.00,1.06,,1.06,NA,0.01,1.07,1.07,3,XXX,0.00,0.00,0.00,0,2,0,0,0,9,,33.4009,02,0,99,0.00,0.00,0.00
5106102,IL,99,REST OF ILLINOIS,1.000,0.913,1.563
5208102,IN,00,INDIANA,1.000,0.927,0.486
5305102,IA,00,IOWA,1.000,0.915,0.397
5405202,KS,00,KANSAS,1.000,0.904,0.504
5515102,KY,00,KENTUCKY,1.000,0.889,0.915
5607202,LA,01,NEW ORLEANS,1.000,0.941,1.136
5707202,LA,99,REST OF LOUISIANA,1.000,0.885,0.958