How much does Medicare pay for CPT 92567?

Medicare allowed an average of $15.98 per service and paid $11.43 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $51.47, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 92567?

Test to assess middle ear function. It was billed 971,761 times to 923,280 Medicare beneficiaries by 8,477 providers in 2024.

Does 92567 pay differently in an office than a hospital?

Yes. The allowed amount averaged $16.11 in an office setting and $10.49 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 92567 most?

Audiologist, with 754,969 services from 5,898 clinicians. Next are Otolaryngology, Physician Assistant, Nurse Practitioner.

CPT 92567

Test to assess middle ear function

$15.98Medicare-allowed amount per service, averaged across 971,761 services

Providers submitted

$51.47

Asking price, not received

Medicare allowed

$15.98

The fee schedule figure

Medicare paid

$11.43

Balance is patient coinsurance

Providers submitted an average of $51.47 for this code and Medicare allowed $15.98 — 3.2× 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 $11.43 (72%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $16.11
Hospital / facility: $10.49

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. 949,815 services were billed in an office setting and 21,946 in a facility.

Services: 971,761
Beneficiaries: 923,280
Providers billing it: 8,477
Total allowed: $15,528,741

What Medicare pays for CPT 92567

Across 971,761 services billed by 8,477 providers to 923,280 beneficiaries, Medicare allowed an average of $15.98 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 92567

Specialty	Services	Beneficiaries	Avg allowed	Providers
Audiologist	754,969	727,696	$16.06	5,898
Otolaryngology	180,111	163,519	$16.04	1,968
Physician Assistant	16,034	14,790	$13.31	287
Nurse Practitioner	13,028	11,857	$12.92	219
Allergy/ Immunology	2,796	1,281	$17.61	18
Internal Medicine	1,689	1,417	$17.87	30
Family Practice	1,167	1,003	$17.17	34
Plastic and Reconstructive Surgery	432	394	$15.85	2
Unknown Supplier/Provider Specialty	413	392	$16.38	2
General Practice	323	192	$15.48	6
Neurology	285	282	$15.64	9
Osteopathic Manipulative Medicine	252	217	$15.54	1
Undefined Physician type	162	143	$15.21	1
Anesthesiology	78	78	$17.81	1
General Surgery	22	19	$17.20	1

92567 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	89,036	$18.13	$11.62	594
Florida	78,850	$15.93	$11.50	550
Texas	69,165	$15.47	$11.37	648
California	64,011	$17.86	$11.37	436
Pennsylvania	46,777	$15.60	$11.26	387
Massachusetts	36,684	$16.75	$11.07	251
New Jersey	36,058	$17.79	$11.73	219
Maryland	35,874	$16.93	$11.41	262
Georgia	34,285	$15.36	$11.32	331
North Carolina	32,164	$15.25	$11.31	312
Virginia	30,911	$16.00	$11.27	242
Ohio	30,592	$14.10	$10.48	337
Illinois	30,251	$15.94	$11.30	296
Arizona	27,181	$15.51	$11.49	193
Tennessee	25,649	$14.54	$11.22	252
South Carolina	21,074	$15.09	$11.37	154
Washington	20,322	$16.26	$10.86	190
Michigan	19,396	$14.94	$11.03	225
Indiana	17,316	$14.94	$11.28	206
Colorado	16,789	$16.02	$11.18	199
Missouri	16,612	$15.02	$10.98	171
Alabama	16,275	$14.37	$11.58	170
Connecticut	13,007	$16.82	$11.55	112
Louisiana	10,973	$15.06	$11.50	127
Kansas	10,855	$14.74	$11.12	89
Wisconsin	10,319	$14.77	$10.58	157
Minnesota	10,244	$15.57	$10.80	171
Kentucky	10,045	$14.41	$11.05	119
Oregon	9,977	$16.05	$11.08	111
Oklahoma	9,812	$14.76	$11.34	88
Iowa	9,443	$14.75	$11.23	103
Mississippi	8,485	$14.32	$11.47	64
Arkansas	7,285	$14.22	$11.29	66
Delaware	6,559	$16.02	$11.49	30
Utah	6,107	$15.25	$11.31	87
New Hampshire	5,575	$14.07	$9.58	41
Nebraska	5,090	$15.03	$11.29	67
Nevada	4,651	$15.38	$11.64	39
New Mexico	4,204	$15.10	$11.17	36
Maine	3,959	$14.39	$9.94	48
Idaho	3,752	$14.15	$10.48	53
Hawaii	3,493	$16.96	$11.06	21
Rhode Island	3,476	$16.39	$11.67	27
Montana	3,428	$15.48	$10.61	34
South Dakota	3,332	$14.59	$10.25	34
West Virginia	3,053	$14.58	$10.88	36
Wyoming	2,236	$15.90	$11.07	23
District of Columbia	1,868	$17.98	$11.45	17
Alaska	1,821	$17.91	$11.43	14
North Dakota	1,579	$14.23	$9.90	16
Vermont	1,304	$14.23	$9.06	18
U.S. Virgin Islands	367	$16.10	$10.73	2
Guam	151	$15.53	$10.74	1
Northern Mariana Islands	39	$17.10	$8.04	1

Related codes

92557Comprehensive hearing and speech recognition test$36.00
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
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.