How much does Medicare pay for CPT 92546?

Medicare allowed an average of $131.13 per service and paid $102.35 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $295.41, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 92546?

Test for abnormal eye movement using a rotating chair. It was billed 40,264 times to 34,760 Medicare beneficiaries by 640 providers in 2024.

Does 92546 pay differently in an office than a hospital?

Yes. The allowed amount averaged $135.12 in an office setting and $15.19 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 92546 most?

Neurology, with 11,285 services from 143 clinicians. Next are Audiologist, Otolaryngology, Diagnostic Radiology.

CPT 92546

Test for abnormal eye movement using a rotating chair

$131.13Medicare-allowed amount per service, averaged across 40,264 services

Providers submitted

$295.41

Asking price, not received

Medicare allowed

$131.13

The fee schedule figure

Medicare paid

$102.35

Balance is patient coinsurance

Providers submitted an average of $295.41 for this code and Medicare allowed $131.13 — 2.3× 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 $102.35 (78%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $135.12
Hospital / facility: $15.19

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. 38,926 services were billed in an office setting and 1,338 in a facility.

Services: 40,264
Beneficiaries: 34,760
Providers billing it: 640
Total allowed: $5,279,818

What Medicare pays for CPT 92546

Across 40,264 services billed by 640 providers to 34,760 beneficiaries, Medicare allowed an average of $131.13 per service. That is 1.2 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 92546

Specialty	Services	Beneficiaries	Avg allowed	Providers
Neurology	11,285	10,868	$138.16	143
Audiologist	11,147	10,045	$115.73	246
Otolaryngology	5,768	5,716	$115.19	158
Diagnostic Radiology	4,735	2,194	$154.36	2
Internal Medicine	2,032	1,956	$141.98	40
General Practice	1,730	643	$142.18	3
Independent Diagnostic Testing Facility (IDTF)	1,566	1,471	$144.73	8
Cardiology	461	450	$150.99	6
Family Practice	459	428	$142.56	12
Nurse Practitioner	230	186	$120.61	4
Physician Assistant	217	203	$121.55	4
Physical Medicine and Rehabilitation	175	161	$124.38	5
Critical Care (Intensivists)	112	109	$164.63	1
Neurosurgery	106	106	$130.73	2
Interventional Pain Management	105	93	$126.37	2

92546 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	11,795	$147.53	$99.06	94
California	5,801	$146.13	$100.94	44
Florida	4,770	$127.93	$100.54	119
Maryland	1,876	$151.24	$102.08	14
Texas	1,726	$121.75	$99.92	43
Arizona	1,441	$122.90	$100.20	28
Missouri	1,161	$118.78	$98.25	15
New Jersey	1,081	$148.46	$102.29	25
Kansas	995	$99.37	$84.40	13
Nevada	932	$120.63	$102.58	10
Georgia	850	$125.03	$100.41	26
Minnesota	735	$127.17	$96.35	13
Michigan	674	$125.86	$97.58	18
Pennsylvania	635	$34.79	$26.28	18
Indiana	591	$118.88	$99.44	11
Virginia	569	$126.01	$95.88	12
Tennessee	534	$113.35	$95.52	10
Massachusetts	525	$22.79	$15.49	9
North Carolina	303	$96.95	$80.28	9
Washington	283	$92.69	$65.79	9
Oklahoma	267	$102.31	$101.18	4
Colorado	255	$100.45	$77.32	6
South Carolina	236	$117.71	$101.43	11
Connecticut	232	$146.12	$97.12	3
Alabama	205	$113.61	$101.59	7
Ohio	204	$37.02	$30.21	8
Rhode Island	178	$133.87	$93.58	1
Illinois	164	$124.05	$91.71	6
Louisiana	159	$115.00	$98.68	5
West Virginia	156	$114.92	$100.62	5
Mississippi	142	$90.55	$86.26	6
Wisconsin	95	$63.66	$55.79	4
Utah	88	$122.55	$99.28	5
Arkansas	74	$108.78	$103.46	3
Hawaii	72	$132.98	$95.53	3
Nebraska	71	$117.84	$95.59	4
Idaho	58	$118.59	$102.82	2
New Hampshire	55	$123.68	$95.36	2
Kentucky	53	$118.50	$102.00	3
Oregon	49	$79.91	$62.44	2
Puerto Rico	38	$128.31	$103.51	3
New Mexico	32	$14.86	$10.75	1
Delaware	26	$129.85	$103.86	2
Maine	21	$141.88	$99.93	1
Montana	21	$129.93	$98.69	1
Wyoming	18	$135.59	$103.78	1
Vermont	18	$122.60	$103.86	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
92537Test to assess balance during warm and cool irrigation in both ears$38.90
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.