How much does Medicare pay for CPT 92552?

Medicare allowed an average of $37.66 per service and paid $26.52 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $72.53, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 92552?

Test for hearing various pitches using earphone. It was billed 83,140 times to 80,025 Medicare beneficiaries by 1,610 providers in 2024.

Which specialty bills 92552 most?

Audiologist, with 55,357 services from 1,140 clinicians. Next are Otolaryngology, Internal Medicine, Family Practice.

CPT 92552

Test for hearing various pitches using earphone

$37.66Medicare-allowed amount per service, averaged across 83,140 services

Providers submitted

$72.53

Asking price, not received

Medicare allowed

$37.66

The fee schedule figure

Medicare paid

$26.52

Balance is patient coinsurance

Providers submitted an average of $72.53 for this code and Medicare allowed $37.66 — 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 $26.52 (70%); the rest is the patient’s coinsurance and deductible.

Services: 83,140
Beneficiaries: 80,025
Providers billing it: 1,610
Total allowed: $3,131,052

What Medicare pays for CPT 92552

Across 83,140 services billed by 1,610 providers to 80,025 beneficiaries, Medicare allowed an average of $37.66 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 92552

Specialty	Services	Beneficiaries	Avg allowed	Providers
Audiologist	55,357	53,840	$36.80	1,140
Otolaryngology	11,195	10,223	$38.04	211
Internal Medicine	7,631	7,415	$41.47	102
Family Practice	5,084	4,816	$38.77	73
Nurse Practitioner	1,319	1,265	$39.26	29
Physician Assistant	738	719	$35.98	28
Cardiology	635	633	$43.02	5
General Practice	364	342	$43.32	6
Emergency Medicine	149	149	$43.46	2
Independent Diagnostic Testing Facility (IDTF)	147	141	$43.65	1
Neurology	132	132	$36.32	4
Rheumatology	113	102	$41.94	1
Anesthesiology	78	78	$43.95	1
Pediatric Medicine	52	51	$34.32	2
Psychiatry	49	24	$31.15	1

92552 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
California	8,372	$44.42	$26.30	109
New York	8,178	$41.29	$26.54	115
Virginia	4,644	$37.15	$26.53	61
Texas	4,235	$35.88	$26.77	106
Tennessee	3,490	$33.12	$26.57	54
Illinois	3,098	$37.02	$26.43	62
Georgia	2,950	$35.26	$26.84	63
Kansas	2,936	$33.98	$24.63	38
Colorado	2,864	$38.96	$26.46	61
New Jersey	2,863	$43.13	$26.51	37
Maryland	2,726	$40.92	$26.43	51
Massachusetts	2,680	$40.75	$26.04	60
Indiana	2,482	$34.13	$26.07	51
Florida	2,231	$35.55	$27.14	42
North Carolina	2,024	$34.24	$26.03	64
Connecticut	1,906	$40.70	$27.24	26
Missouri	1,814	$35.05	$25.83	43
Pennsylvania	1,799	$35.59	$26.32	36
Ohio	1,610	$33.52	$26.35	44
Arizona	1,407	$36.22	$26.74	33
Washington	1,341	$39.88	$25.68	37
Kentucky	1,193	$31.19	$27.02	24
Rhode Island	1,144	$38.36	$27.07	16
Minnesota	1,066	$37.85	$25.47	39
Oklahoma	1,055	$33.07	$26.15	26
Louisiana	1,035	$33.22	$26.92	29
Utah	922	$34.82	$25.57	15
Arkansas	900	$31.65	$27.01	21
Alabama	826	$31.53	$26.97	19
Nebraska	712	$33.91	$25.78	25
Michigan	701	$35.52	$26.73	24
Delaware	698	$36.97	$27.46	6
South Carolina	652	$33.33	$27.25	21
Iowa	634	$34.26	$26.44	21
Wisconsin	627	$35.42	$24.79	24
New Hampshire	617	$39.44	$25.03	11
New Mexico	496	$33.89	$25.61	8
Maine	485	$38.05	$26.59	8
Vermont	482	$36.83	$23.40	6
Wyoming	464	$36.52	$21.43	10
Idaho	383	$33.25	$24.50	8
Mississippi	372	$31.26	$26.81	9
Oregon	357	$38.61	$25.52	14
Nevada	312	$36.47	$25.61	7
South Dakota	307	$36.90	$23.42	4
District of Columbia	300	$42.88	$25.86	4
Montana	211	$20.76	$26.76	2
Hawaii	194	$39.85	$25.92	6
Alaska	141	$35.17	$29.33	2
West Virginia	95	$35.61	$25.41	3
U.S. Virgin Islands	57	$37.54	$24.52	2
North Dakota	52	$37.26	$25.61	3

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
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.