$20.37–$21.25
92550 combines tympanometry and acoustic reflex threshold measurements. Choose 92570 when the service also includes the broader reflex assessment, including decay testing.
On this page
CMS RVU26D · Effective 2026-10-01
92570 Immittance testing Medicare reimbursement rates in Missouri
Reports a comprehensive middle-ear test battery combining tympanometry with acoustic reflex measurements when evaluating hearing or middle-ear disorders. Compare 92570 office and facility rates across CMS payment localities in Missouri.
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 92570 in Missouri?
Missouri 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
$29.64–$30.79
3 of 3 localities have a supported rate.
Facility setting
$23.01–$23.47
3 of 3 localities have a 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.
Where 92570 pays more and less in Missouri
3 payment localities
$29.64 to $30.79
Audiology
About 92570: Comprehensive acoustic immittance testing
Reports a comprehensive middle-ear test battery combining tympanometry with acoustic reflex measurements when evaluating hearing or middle-ear disorders.
An audiologist or other qualified hearing professional uses acoustic immittance testing to assess eardrum and middle-ear mobility and measure acoustic reflex responses. The battery includes tympanometry, reflex threshold testing, and reflex decay testing. It is commonly performed in audiology and otolaryngology settings when evaluating conductive hearing loss, middle-ear fluid or pressure problems, or other abnormal hearing findings.
Report 92570 when the documented service includes the comprehensive immittance battery, rather than only one of its component test types. Retain the test results and clinical rationale showing which measurements were performed. CMS treats this as a service without a separately billable professional component, so modifier 26 does not apply. The code is priced as bilateral; modifier 50 does not increase payment.
CMS billing rules for 92570
- 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 RVU0.55 · 59%
- Practice expense (office) RVU0.38 · 40%
- Malpractice RVU0.01 · 1%
27.3K
Medicare services in 2024 · #1009 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.
92570 compared with similar codes
Office rates for Missouri, from the same CMS release.
$14.78–$15.60
92567 is limited to tympanometry. It does not represent the full set of acoustic reflex measurements included in 92570.
$14.62–$15.11
92568 reports acoustic reflex threshold testing alone; 92570 represents the broader immittance battery, not just the threshold measurement.
Compare 92570 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
Metropolitan Kansas City →
Office / nonfacility
$30.61
Facility
$23.40
Metropolitan St. Louis →
Office / nonfacility
$30.79
Facility
$23.47
Rest Of Missouri →
Office / nonfacility
$29.64
Facility
$23.01
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92570 billing questions
When should 92570 be selected instead of 92567?
Use 92570 for the comprehensive immittance battery, including tympanometry and acoustic reflex measurements. Use 92567 when the service is tympanometry alone.
How does 92570 differ from 92550?
92570 represents the broader battery, including reflex decay testing. 92550 covers tympanometry with acoustic reflex threshold measurements.
Can the component measurements also be billed separately?
The measurements are included in the comprehensive service represented by 92570. Do not separately report a component test for work already included in the battery.
Should modifier 50 be appended for testing both ears?
No. CMS prices 92570 as bilateral, and modifier 50 does not increase payment.
Can modifier 26 be used for the interpretation?
No. CMS identifies this as a service for which the professional component modifier does not apply.
What documentation supports reporting 92570?
Document the clinical reason for testing and the tympanometry and acoustic reflex measurements performed, with the resulting findings.
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.
11,83892565,,Stenger test pure tone,A,,0.00,0.66,,0.66,NA,0.01,0.67,0.67,3,XXX,0.00,0.00,0.00,0,2,0,0,0,9,,33.4009,02,0,99,0.00,0.00,0.00
11,83992567,,Tympanometry,A,,0.20,0.27,,0.05,,0.01,0.48,0.26,7,XXX,0.00,0.00,0.00,0,2,0,0,0,9,,33.4009,02,0,99,0.00,0.00,0.00
11,84092568,,Acoustic refl threshold tst,A,,0.29,0.16,,0.08,,0.01,0.46,0.38,7,XXX,0.00,0.00,0.00,0,2,0,0,0,9,,33.4009,02,0,99,0.00,0.00,0.00
11,84192570,,Acoustic immitance testing,A,,0.55,0.38,,0.15,,0.01,0.94,0.71,7,XXX,0.00,0.00,0.00,0,2,0,0,0,9,,33.4009,02,0,99,0.00,0.00,0.00
11,84292571,,Filtered speech test,A,,0.00,0.92,,0.92,NA,0.01,0.93,0.93,3,XXX,0.00,0.00,0.00,0,2,0,0,0,9,,33.4009,02,0,99,0.00,0.00,0.00
11,84392572,,Staggered spondaic word test,A,,0.00,1.80,,1.80,NA,0.01,1.81,1.81,3,XXX,0.00,0.00,0.00,0,2,0,0,0,9,,33.4009,02,0,99,0.00,0.00,0.00
11,84492575,,Sensorineural acuity lvl tst,A,,0.00,2.19,,2.19,NA,0.02,2.21,2.21,3,XXX,0.00,0.00,0.00,0,2,0,0,0,9,,33.4009,02,0,99,0.00,0.00,0.00