$23.07
Use 92577 for a speech-based Stenger test and 92565 when the Stenger test uses pure tones.
On this page
CMS RVU26D · Effective 2026-10-01
92577 Stenger test Medicare reimbursement rates in Rhode Island
Reports a speech-based Stenger test used by an audiologist to assess reported unilateral or asymmetric hearing loss against behavioral responses. Compare 92577 office and facility rates across CMS payment localities in Rhode Island.
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 92577 in Rhode Island?
Rhode Island 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
$23.42
1 of 1 localities have a supported rate.
Payment area: Rhode Island
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 92577: Speech Stenger hearing test
Reports a speech-based Stenger test used by an audiologist to assess reported unilateral or asymmetric hearing loss against behavioral responses.
An audiologist performs this behavioral test when a patient reports hearing loss that is substantially worse in one ear, particularly when responses on other hearing tests are inconsistent. Speech stimuli are presented to both ears at controlled levels, and the patient’s responses help assess whether the reported asymmetry is supported by the test. The test may be part of an outpatient audiologic evaluation, alongside other hearing measures when those are separately performed.
Report 92577 for the technical performance of the speech Stenger test; CMS identifies it as a technical-component-only service, with interpretation covered by a separate code. Documentation should identify the reason for testing, the test conditions, responses from each ear, and the findings. The code is priced as bilateral, so report the service once rather than adding modifier 50 to increase payment.
CMS billing rules for 92577
- 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) RVU0.67 · 99%
- Malpractice RVU0.01 · 1%
146
Medicare services in 2024 · #4583 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.
92577 compared with similar codes
Office rates for Rhode Island, from the same CMS release.
$47.91
92556 assesses speech thresholds and recognition; 92577 uses a Stenger procedure to evaluate responses in reported asymmetric hearing loss.
$36.59
92557 is comprehensive audiometry combining air- and bone-conduction and speech testing. 92577 is a distinct speech Stenger test, not a comprehensive hearing test.
Compare 92577 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
Rhode Island →
Office / nonfacility
$23.42
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 92577 in Rhode Island.
PPRRVU2026_Oct_nonQPP.csv
11,846
- Code
- 92577
- Physician work
- 0.00
- Practice expense
- 0.67
- Malpractice
- 0.01
GPCI2026.csv
92
- Locality
- Rhode Island
- Physician work
- 1.019
- Practice expense
- 1.033
- Malpractice
- 0.892
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.00 | × 1.019 | 0.0000 |
| Practice expense | 0.67 | × 1.033 | 0.6921 |
| Malpractice | 0.01 | × 0.892 | 0.0089 |
| Total RVUs | 0.7010 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Rhode Island$23.42
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0 | 1.019 |
| Practice expense | 0.67 | 1.033 |
| Malpractice | 0.01 | 0.892 |
(0 × 1.019 + 0.67 × 1.033 + 0.01 × 0.892) × $33.4009 = $23.42
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.
92577 billing questions
How is 92577 different from the pure-tone Stenger test?
92577 is the speech-based Stenger test. Use 92565 for the pure-tone Stenger test.
Does 92577 include interpretation?
No. CMS identifies 92577 as technical-component-only; interpretation is covered by a separate code.
Should modifier 50 be appended?
No. CMS prices 92577 as bilateral, and modifier 50 does not increase payment.
Can 92577 be reported with comprehensive audiometry?
It may be reported with 92557 when comprehensive audiometry is also performed. Document the separate test results and services.
What documentation supports 92577?
Record the clinical reason for the speech Stenger test, the controlled test conditions, responses from both ears, and 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.
11,84392572,,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
11,84592576,,Synthetic sentence id test,A,,0.00,1.26,,1.26,NA,0.01,1.27,1.27,3,XXX,0.00,0.00,0.00,0,2,0,0,0,9,,33.4009,02,0,99,0.00,0.00,0.00
11,84692577,,Stenger test speech,A,,0.00,0.67,,0.67,NA,0.01,0.68,0.68,3,XXX,0.00,0.00,0.00,0,2,0,0,0,9,,33.4009,02,0,99,0.00,0.00,0.00
11,84792579,,Visual audiometry (vra),A,,0.68,0.60,,0.20,,0.01,1.29,0.89,7,XXX,0.00,0.00,0.00,0,2,0,0,0,9,,33.4009,02,0,99,0.00,0.00,0.00
11,84892582,,Conditioning play audiometry,A,,0.00,2.59,,2.59,NA,0.01,2.60,2.60,3,XXX,0.00,0.00,0.00,0,2,0,0,0,9,,33.4009,02,0,99,0.00,0.00,0.00
11,84992583,,Select picture audiometry,A,,0.00,1.83,,1.83,NA,0.01,1.84,1.84,3,XXX,0.00,0.00,0.00,0,2,0,0,0,9,,33.4009,02,0,99,0.00,0.00,0.00
8912502,PA,01,METROPOLITAN PHILADELPHIA,1.018,1.041,1.193
9012502,PA,99,REST OF PENNSYLVANIA,1.000,0.918,0.945
9109202,PR,20,PUERTO RICO,1.000,1.011,0.985
9214412,RI,01,RHODE ISLAND,1.019,1.033,0.892
9311202,SC,01,SOUTH CAROLINA,1.000,0.924,0.850
9403402,SD,02,SOUTH DAKOTA**,1.000,1.000,0.336
9510312,TN,35,TENNESSEE,1.000,0.909,0.537