How much does Medicare pay for CPT 92549?

Medicare allowed an average of $62.29 per service and paid $48.60 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $270.58, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 92549?

Test for balance and posture with motor control and adaption test. It was billed 3,529 times to 3,252 Medicare beneficiaries by 73 providers in 2024.

Does 92549 pay differently in an office than a hospital?

Yes. The allowed amount averaged $62.58 in an office setting and $47.58 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 92549 most?

Otolaryngology, with 1,503 services from 32 clinicians. Next are Audiologist, Physical Therapist in Private Practice, Neurology.

CPT 92549

Test for balance and posture with motor control and adaption test

$62.29Medicare-allowed amount per service, averaged across 3,529 services

Providers submitted

$270.58

Asking price, not received

Medicare allowed

$62.29

The fee schedule figure

Medicare paid

$48.60

Balance is patient coinsurance

Providers submitted an average of $270.58 for this code and Medicare allowed $62.29 — 4.3× 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 $48.60 (78%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $62.58
Hospital / facility: $47.58

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. 3,461 services were billed in an office setting and 68 in a facility.

Services: 3,529
Beneficiaries: 3,252
Providers billing it: 73
Total allowed: $219,821

What Medicare pays for CPT 92549

Across 3,529 services billed by 73 providers to 3,252 beneficiaries, Medicare allowed an average of $62.29 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 92549

Specialty	Services	Beneficiaries	Avg allowed	Providers
Otolaryngology	1,503	1,382	$61.47	32
Audiologist	1,479	1,346	$63.43	27
Physical Therapist in Private Practice	272	254	$62.67	6
Neurology	234	230	$62.05	6
Nurse Practitioner	22	21	$49.64	1
Physician Assistant	19	19	$50.44	1

92549 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
Florida	977	$61.45	$49.40	22
California	473	$68.26	$50.01	6
Arizona	354	$63.15	$49.90	4
Missouri	349	$61.22	$49.69	7
Louisiana	235	$59.17	$46.07	4
Texas	152	$61.04	$50.08	2
Maryland	145	$66.96	$48.61	2
Illinois	139	$65.71	$48.18	2
Alabama	133	$56.80	$47.92	4
Nebraska	117	$59.71	$50.18	3
New York	112	$59.26	$47.57	5
Virginia	86	$60.38	$48.97	1
South Carolina	45	$63.33	$48.19	3
Washington	43	$64.38	$50.16	1
Oklahoma	40	$55.46	$46.68	2
North Carolina	37	$62.39	$44.30	1
Massachusetts	35	$47.15	$34.39	1
Guam	23	$71.91	$49.98	1
Georgia	19	$63.38	$50.20	1
Ohio	15	$48.51	$38.58	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
92546Test for abnormal eye movement$131.13

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.