RxDoctor Payments Data

CPT 92584

Test to assess electrical potentials generated in the inner ear as a result of sound stimulation

$106.41Medicare-allowed amount per service, averaged across 9,348 services
Providers submitted
$227.32

Asking price, not received

Medicare allowed
$106.41

The fee schedule figure

Medicare paid
$83.02

Balance is patient coinsurance

Providers submitted an average of $227.32 for this code and Medicare allowed $106.412.1× 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 $83.02 (78%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility
$106.42
Hospital / facility
$105.10

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. 9,285 services were billed in an office setting and 63 in a facility.

Services
9,348

Medicare Part B, 2024

Beneficiaries
9,194
Providers billing it
273
Total allowed
$994,721

Services × allowed amount

What Medicare pays for CPT 92584

Across 9,348 services billed by 273 providers to 9,194 beneficiaries, Medicare allowed an average of $106.41 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 92584

SpecialtyServicesBeneficiariesAvg allowedProviders
Audiologist4,3024,207$105.68118
Otolaryngology4,2934,271$108.19134
Neurology370368$102.3110
Independent Diagnostic Testing Facility (IDTF)129125$123.511
Interventional Pain Management5932$62.291
Nurse Practitioner5957$83.663
Physician Assistant5050$89.083
Plastic and Reconstructive Surgery3333$99.381
Osteopathic Manipulative Medicine2828$104.501
Physical Medicine and Rehabilitation2523$100.611

92584 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.

StateServicesAllowedStandardized pmtProviders
Florida3,615$108.17$84.13102
Texas1,085$103.97$85.1327
Arizona620$103.77$86.0212
Tennessee530$95.11$81.8210
California487$116.01$84.6212
Virginia396$109.62$86.418
Alabama320$96.52$83.5211
New Jersey203$122.64$86.504
Pennsylvania184$111.74$83.986
Colorado167$108.13$82.378
Nevada166$86.93$84.526
Washington161$111.27$86.314
New York116$123.86$85.826
Georgia102$100.30$85.725
Illinois99$112.92$85.124
West Virginia99$96.92$86.762
South Carolina82$95.22$84.422
Louisiana79$101.15$82.304
Delaware78$106.23$86.655
Maryland77$112.63$85.723
Missouri76$104.45$84.532
Utah71$104.31$86.374
Connecticut69$120.76$84.262
North Carolina61$102.68$86.683
Mississippi58$90.22$86.464
New Hampshire54$101.59$79.192
Arkansas42$94.05$86.202
Puerto Rico40$107.93$85.521
Hawaii38$117.48$84.671
Kentucky37$107.12$84.682
Idaho25$101.09$86.591
Indiana18$97.75$86.491
Minnesota17$102.67$83.661
District of Columbia15$96.78$83.101
U.S. Virgin Islands15$108.53$86.461
Massachusetts12$113.66$83.181
Michigan12$104.72$79.711
New Mexico11$101.95$86.521
Kansas11$101.13$86.651

Related codes

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.