How much does Medicare pay for CPT 92537?

Medicare allowed an average of $38.90 per service and paid $30.14 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $159.80, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 92537?

Test to assess balance during warm and cool irrigation in both ears. It was billed 44,902 times to 41,941 Medicare beneficiaries by 1,115 providers in 2024.

Does 92537 pay differently in an office than a hospital?

Yes. The allowed amount averaged $39.27 in an office setting and $30.36 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 92537 most?

Audiologist, with 16,764 services from 578 clinicians. Next are Otolaryngology, Neurology, Diagnostic Radiology.

CPT 92537

Test to assess balance during warm and cool irrigation in both ears

$38.90Medicare-allowed amount per service, averaged across 44,902 services

Providers submitted

$159.80

Asking price, not received

Medicare allowed

$38.90

The fee schedule figure

Medicare paid

$30.14

Balance is patient coinsurance

Providers submitted an average of $159.80 for this code and Medicare allowed $38.90 — 4.1× 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 $30.14 (77%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $39.27
Hospital / facility: $30.36

The office rate is higher because the practice supplies the room, staff and equipment out of that payment. In a hospital the facility bills those separately, so the clinician's share is smaller — the total cost to Medicare is usually higher, not lower. 43,011 services were billed in an office setting and 1,891 in a facility.

Services: 44,902
Beneficiaries: 41,941
Providers billing it: 1,115
Total allowed: $1,746,688

What Medicare pays for CPT 92537

Across 44,902 services billed by 1,115 providers to 41,941 beneficiaries, Medicare allowed an average of $38.90 per service. 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 92537

Specialty	Services	Beneficiaries	Avg allowed	Providers
Audiologist	16,764	16,681	$37.97	578
Otolaryngology	10,144	10,114	$37.80	322
Neurology	9,952	9,804	$38.99	155
Diagnostic Radiology	4,730	2,194	$44.13	2
Internal Medicine	1,386	1,345	$41.90	23
Independent Diagnostic Testing Facility (IDTF)	838	736	$35.14	8
Physician Assistant	259	257	$32.48	7
Cardiology	229	223	$44.77	1
Physical Medicine and Rehabilitation	152	143	$37.80	5
Critical Care (Intensivists)	116	113	$47.12	1
Neurosurgery	108	108	$39.29	2
Neuropsychiatry	53	53	$39.27	1
Nurse Practitioner	47	47	$33.75	4
Family Practice	42	41	$41.54	2
Plastic and Reconstructive Surgery	32	32	$36.53	1

92537 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	11,213	$42.83	$29.34	111
Florida	6,607	$39.06	$30.40	194
California	3,013	$42.02	$30.02	69
Texas	2,630	$36.92	$29.58	83
Arizona	2,360	$31.70	$25.50	40
New Jersey	1,528	$42.20	$29.96	38
Nevada	1,371	$36.74	$30.21	19
Maryland	1,356	$40.21	$29.92	35
Louisiana	936	$35.62	$28.73	32
Pennsylvania	877	$35.62	$27.61	34
Georgia	876	$36.90	$29.82	26
Virginia	828	$39.20	$30.18	23
Michigan	800	$37.60	$28.89	35
Massachusetts	728	$35.51	$25.49	12
North Carolina	710	$37.03	$29.04	29
Alabama	655	$35.97	$29.86	21
Ohio	595	$34.66	$27.27	29
Colorado	567	$38.47	$29.24	22
Indiana	551	$36.57	$30.18	17
Illinois	543	$38.94	$29.31	19
Washington	533	$38.58	$27.71	20
Missouri	513	$35.82	$29.26	12
Tennessee	500	$35.86	$28.88	19
Oklahoma	491	$35.47	$29.09	10
Utah	490	$37.60	$30.13	17
South Carolina	483	$36.83	$29.66	23
Minnesota	315	$35.04	$27.29	11
Mississippi	267	$34.25	$29.30	11
Oregon	233	$34.87	$25.97	8
West Virginia	195	$36.76	$28.65	6
Idaho	171	$34.07	$27.59	6
Delaware	171	$38.39	$29.52	8
Arkansas	169	$32.20	$27.71	8
Rhode Island	168	$39.55	$28.68	1
Iowa	154	$36.92	$29.25	4
Montana	153	$38.88	$28.99	7
Wisconsin	146	$26.06	$21.04	6
New Mexico	142	$31.52	$27.77	6
Kansas	137	$34.15	$27.10	7
Hawaii	115	$39.99	$30.04	4
South Dakota	106	$29.53	$22.49	3
Nebraska	88	$34.72	$29.34	4
Kentucky	84	$36.46	$30.74	6
Connecticut	83	$42.25	$30.62	5
New Hampshire	77	$33.68	$24.44	4
Puerto Rico	64	$39.27	$30.06	5
Wyoming	42	$38.45	$31.05	2
District of Columbia	22	$35.28	$29.64	1
Maine	20	$39.95	$27.78	1
Vermont	14	$36.60	$31.06	1
North Dakota	12	$29.66	$19.75	1

Related codes

92557Comprehensive hearing and speech recognition test$36.00
92567Test to assess middle ear function$15.98
92507Treatment of speech$72.06
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
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.