How much does Medicare pay for CPT 92507?

Medicare allowed an average of $72.06 per service and paid $56.45 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $139.28, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 92507?

Treatment of speech, language, voice, communication, and/or hearing processing disorder. It was billed 659,159 times to 55,695 Medicare beneficiaries by 2,064 providers in 2024.

Does 92507 pay differently in an office than a hospital?

Yes. The allowed amount averaged $72.06 in an office setting and $82.88 in a facility. The office rate is generally higher because the practice supplies the room, staff and equipment out of that single payment; in a hospital those are billed separately by the facility.

Which specialty bills 92507 most?

Speech Language Pathologist, with 651,814 services from 1,999 clinicians. Next are Otolaryngology, Physical Medicine and Rehabilitation, Neurology.

CPT 92507

Treatment of speech, language, voice, communication, and/or hearing processing disorder

$72.06Medicare-allowed amount per service, averaged across 659,159 services

Providers submitted

$139.28

Asking price, not received

Medicare allowed

$72.06

The fee schedule figure

Medicare paid

$56.45

Balance is patient coinsurance

Providers submitted an average of $139.28 for this code and Medicare allowed $72.06 — 1.9× less. That gap is normal and means nothing on its own: Medicare pays its fee schedule regardless of what is billed, so the submitted figure describes a hospital chargemaster, not a price anyone paid. Of the allowed amount Medicare paid $56.45 (78%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $72.06
Hospital / facility: $82.88

The facility rate is higher for this code, which is unusual and generally means the service depends on equipment or staffing a hospital carries. 659,117 services were billed in an office setting and 42 in a facility.

Services: 659,159
Beneficiaries: 55,695
Providers billing it: 2,064
Total allowed: $47,498,998

What Medicare pays for CPT 92507

Across 659,159 services billed by 2,064 providers to 55,695 beneficiaries, Medicare allowed an average of $72.06 per service. That is 11.8 services per beneficiary, so this is a code patients typically receive more than once. The allowed amount is the figure that matters: it is what Medicare and the patient together owe, set by the fee schedule and adjusted for local practice costs. What a provider chose to submit has no bearing on it.

Who bills 92507

Specialty	Services	Beneficiaries	Avg allowed	Providers
Speech Language Pathologist	651,814	53,721	$72.04	1,999
Otolaryngology	3,820	1,449	$74.48	46
Physical Medicine and Rehabilitation	1,044	118	$69.49	2
Neurology	926	167	$71.84	7
Licensed Clinical Social Worker	620	15	$83.27	1
Physical Therapist in Private Practice	292	35	$69.94	1
Unknown Supplier/Provider Specialty	250	75	$63.68	1
Occupational Therapist in Private Practice	210	11	$71.36	1
Audiologist	74	51	$75.42	3
Pulmonary Disease	52	12	$66.56	1
Physician Assistant	36	24	$61.10	1
Nurse Practitioner	21	17	$64.06	1

92507 reimbursement by state

Two different numbers. Allowed is what Medicare actually allowed in that state, which includes the local practice-cost adjustment. Standardized strips that geographic adjustment out of the payment, so it is the column to use when comparing states — a difference there reflects how the code was billed, not what it costs to run a practice locally.

State	Services	Allowed	Standardized pmt	Providers
New York	109,521	$77.86	$55.46	231
Florida	61,258	$70.18	$55.30	159
Texas	39,152	$70.27	$55.44	113
New Jersey	32,953	$74.33	$54.94	103
Illinois	32,408	$72.14	$57.48	109
North Carolina	25,327	$70.56	$57.25	74
Virginia	25,289	$72.00	$55.70	60
South Carolina	21,920	$67.81	$55.45	57
Pennsylvania	21,599	$69.31	$53.80	94
California	21,441	$77.12	$55.47	106
Colorado	20,322	$69.90	$54.09	61
Maryland	18,093	$74.86	$55.31	65
Tennessee	17,693	$68.42	$56.31	46
Missouri	14,072	$70.29	$56.65	55
Nebraska	12,553	$68.91	$56.43	35
Washington	12,241	$73.27	$55.99	31
Ohio	11,980	$69.82	$56.70	57
Arizona	11,194	$72.66	$57.48	35
Kentucky	11,114	$69.10	$57.29	36
Georgia	10,990	$69.29	$55.22	34
Indiana	10,756	$70.29	$57.68	36
Kansas	10,544	$70.01	$57.26	35
Arkansas	10,247	$67.84	$56.82	27
Wisconsin	9,967	$68.21	$54.64	46
Mississippi	8,798	$67.74	$57.20	13
Michigan	8,724	$72.04	$57.60	31
Minnesota	8,069	$70.36	$54.69	48
Massachusetts	6,841	$74.57	$54.84	25
Oklahoma	6,460	$69.11	$56.89	26
Nevada	4,990	$73.44	$57.42	16
Iowa	4,858	$69.60	$57.21	26
Alabama	4,339	$68.20	$56.50	20
Louisiana	4,042	$67.36	$55.01	18
Delaware	3,928	$69.57	$53.85	12
West Virginia	3,807	$67.25	$55.59	16
Connecticut	3,644	$75.03	$55.98	14
Utah	3,048	$70.92	$57.15	20
Oregon	1,781	$70.52	$55.04	12
Hawaii	1,760	$69.48	$53.97	7
New Hampshire	1,734	$66.99	$51.49	5
Wyoming	1,541	$73.35	$56.53	5
Montana	1,423	$72.88	$56.42	9
Maine	1,402	$63.08	$48.98	6
Alaska	1,230	$79.40	$56.49	5
Rhode Island	1,191	$79.13	$55.21	5
South Dakota	805	$65.63	$51.87	4
North Dakota	649	$72.62	$56.63	5
New Mexico	454	$63.43	$50.57	2
District of Columbia	452	$74.51	$53.98	3
Idaho	332	$64.03	$52.50	3
Puerto Rico	223	$75.41	$56.14	3

Related codes

92557Comprehensive hearing and speech recognition test$36.00
92567Test to assess middle ear function$15.98
92504Exam of ear using a microscope$26.45
92526Treatment of swallowing and feeding disorder$84.14
92550Test for eardrum and muscle function$22.10
92588Placement of ear probe for computerized measurement of repeated sounds$33.35
92552Test for hearing various pitches$37.66
92540Evaluation and testing for balance$103.83
92556Test for ability to detect and repeat spoken words$43.60
92537Test to assess balance during warm and cool irrigation in both ears$38.90
92546Test for abnormal eye movement$131.13
92587Placement of ear probe for computerized measurement of sound$21.99

Billing this code is not the same as earning it

An allowed amount is revenue to a practice, not income to a clinician. It funds staff, premises, equipment and supplies before anyone is paid. What clinicians actually earn is published separately by the Department of Labor, and what industry pays them is published separately again by CMS — this site carries both.

What doctors are paid →·Look up a clinician →·All procedure codes →

Where this comes from. CMS Medicare Physician & Other Practitioners, by Provider and Service, 2024. It covers fee-for-service Original Medicare Part B only — not Medicare Advantage, not Medicaid, and not commercial insurance, which typically pays more for the same code.

How it is averaged. CMS publishes one average per provider per code. Every figure here is re-weighted by the number of services, so a clinician who billed the code 4,000 times counts 4,000 times more than one who billed it twice. CMS also suppresses any provider-code pair with fewer than 11 beneficiaries, so low-volume practice is missing from these totals by design.