How much does Medicare pay for CPT 92553?

Medicare allowed an average of $45.68 per service and paid $32.93 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $92.01, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 92553?

Test for hearing various pitches using earphone and device placed against the bone. It was billed 23,075 times to 21,942 Medicare beneficiaries by 626 providers in 2024.

Does 92553 pay differently in an office than a hospital?

Yes. The allowed amount averaged $45.68 in an office setting and $42.72 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 92553 most?

Audiologist, with 15,373 services from 454 clinicians. Next are Otolaryngology, Physician Assistant, Internal Medicine.

CPT 92553

Test for hearing various pitches using earphone and device placed against the bone

$45.68Medicare-allowed amount per service, averaged across 23,075 services

Providers submitted

$92.01

Asking price, not received

Medicare allowed

$45.68

The fee schedule figure

Medicare paid

$32.93

Balance is patient coinsurance

Providers submitted an average of $92.01 for this code and Medicare allowed $45.68 — 2.0× 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 $32.93 (72%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $45.68
Hospital / facility: $42.72

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. 23,037 services were billed in an office setting and 38 in a facility.

Services: 23,075
Beneficiaries: 21,942
Providers billing it: 626
Total allowed: $1,054,066

What Medicare pays for CPT 92553

Across 23,075 services billed by 626 providers to 21,942 beneficiaries, Medicare allowed an average of $45.68 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 92553

Specialty	Services	Beneficiaries	Avg allowed	Providers
Audiologist	15,373	14,714	$45.29	454
Otolaryngology	6,043	5,623	$46.00	132
Physician Assistant	525	513	$48.80	12
Internal Medicine	504	479	$50.62	13
Nurse Practitioner	304	291	$41.77	6
Family Practice	247	246	$48.72	5
Cardiology	35	35	$54.27	1
General Practice	31	28	$47.31	2
Plastic and Reconstructive Surgery	13	13	$45.98	1

92553 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	2,735	$54.04	$31.50	55
Texas	1,892	$43.24	$32.51	43
New York	1,690	$52.09	$33.97	34
Illinois	1,176	$45.14	$31.79	39
Virginia	1,067	$47.79	$32.23	19
Indiana	953	$41.58	$33.83	22
Michigan	952	$42.05	$32.75	19
Arizona	846	$42.69	$33.24	13
Florida	800	$43.35	$32.15	25
Maryland	770	$48.74	$32.62	27
New Jersey	754	$51.60	$33.68	18
Pennsylvania	689	$43.27	$33.20	21
Louisiana	662	$40.04	$31.91	18
Washington	634	$48.31	$31.66	19
Kansas	627	$40.83	$32.76	20
Colorado	543	$47.07	$31.61	15
Alabama	536	$38.93	$32.46	16
Massachusetts	517	$49.35	$32.89	24
North Carolina	470	$42.09	$32.07	14
Kentucky	459	$38.32	$32.26	12
Tennessee	419	$39.93	$31.86	18
Delaware	374	$44.70	$35.15	3
Georgia	344	$42.81	$33.27	15
Ohio	305	$42.45	$33.59	9
West Virginia	296	$39.77	$33.31	4
Minnesota	277	$45.44	$34.39	9
Connecticut	255	$49.82	$34.33	14
Missouri	208	$41.15	$33.82	8
Iowa	192	$41.53	$30.24	12
Nebraska	173	$41.48	$32.29	7
New Hampshire	151	$46.69	$27.77	3
Arkansas	150	$37.81	$33.48	3
Oklahoma	141	$39.86	$30.15	6
Wisconsin	137	$41.77	$31.51	6
South Carolina	131	$35.87	$33.87	4
South Dakota	103	$43.87	$34.17	2
Hawaii	98	$43.82	$27.58	2
Mississippi	96	$38.21	$34.47	4
Oregon	90	$44.42	$32.93	3
Alaska	83	$48.69	$27.25	4
Utah	72	$42.28	$26.98	4
Idaho	56	$40.19	$33.56	4
District of Columbia	47	$50.81	$30.95	2
Maine	41	$48.11	$33.97	3
New Mexico	21	$41.54	$34.41	1
Rhode Island	19	$44.00	$30.27	1
Vermont	13	$44.67	$33.23	1
Montana	11	$45.19	$22.92	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.