How much does Medicare pay for CPT 92652?

Medicare allowed an average of $112.41 per service and paid $87.06 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $219.25, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 92652?

Evaluation of brain response to sound for determination of hearing threshold with interpretation and report. It was billed 4,466 times to 3,787 Medicare beneficiaries by 88 providers in 2024.

Does 92652 pay differently in an office than a hospital?

Yes. The allowed amount averaged $112.19 in an office setting and $114.90 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 92652 most?

Audiologist, with 1,163 services from 20 clinicians. Next are Neurology, Otolaryngology, Internal Medicine.

CPT 92652

Evaluation of brain response to sound for determination of hearing threshold with interpretation and report

$112.41Medicare-allowed amount per service, averaged across 4,466 services

Providers submitted

$219.25

Asking price, not received

Medicare allowed

$112.41

The fee schedule figure

Medicare paid

$87.06

Balance is patient coinsurance

Providers submitted an average of $219.25 for this code and Medicare allowed $112.41 — 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 $87.06 (77%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $112.19
Hospital / facility: $114.90

The facility rate is higher for this code, which is unusual and generally means the service depends on equipment or staffing a hospital carries. 4,098 services were billed in an office setting and 368 in a facility.

Services: 4,466
Beneficiaries: 3,787
Providers billing it: 88
Total allowed: $502,023

What Medicare pays for CPT 92652

Across 4,466 services billed by 88 providers to 3,787 beneficiaries, Medicare allowed an average of $112.41 per service. That is 1.2 services per beneficiary, so this is a code patients typically receive more than once. 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 92652

Specialty	Services	Beneficiaries	Avg allowed	Providers
Audiologist	1,163	782	$105.89	20
Neurology	1,112	1,101	$118.02	23
Otolaryngology	454	428	$114.05	11
Internal Medicine	432	345	$117.24	16
Family Practice	396	233	$113.10	3
Nurse Practitioner	265	261	$92.40	8
Cardiology	253	250	$123.32	1
General Practice	167	167	$117.22	2
Nephrology	142	141	$110.36	1
Orthopedic Surgery	33	33	$106.98	1
Critical Care (Intensivists)	26	26	$134.70	1
Physical Medicine and Rehabilitation	23	20	$106.53	1

92652 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	1,119	$118.78	$86.68	15
Florida	663	$114.59	$86.99	10
New York	614	$124.04	$84.85	11
Nevada	356	$95.09	$75.44	11
Texas	350	$108.98	$84.13	11
Colorado	315	$108.09	$83.93	6
New Mexico	256	$99.24	$81.90	4
Oklahoma	201	$102.49	$82.43	5
Michigan	138	$112.32	$86.35	5
Washington	126	$124.29	$87.46	1
North Carolina	108	$99.65	$82.65	1
Ohio	77	$94.74	$79.02	2
New Jersey	55	$120.13	$87.53	2
Tennessee	35	$102.55	$75.98	1
Kansas	25	$109.40	$84.04	1
Indiana	15	$103.82	$87.40	1
Mississippi	13	$93.24	$87.36	1

Related codes

92610Evaluation of swallowing function$85.94
92604Analysis and reprogramming of inner ear implant (7 years or older)$85.74
92653Evaluation of brain response to sound for diagnosis of nervous system$83.07
92626Evaluation of hearing function related to surgically implanted hearing$83.86
92611Evaluation of swallowing function image$91.51
92609Therapy service for use of speech-generating device$104.52
92625Evaluation of hearing ringing in ear$67.08
92612Evaluation and recording of swallowing$195.12
92613Evaluation, recording, and interpretation of swallowing using an endos$37.04
92627Evaluation of hearing function related to surgically implanted hearing$20.15
92616Evaluation and recording of swallowing and voice box sensory function$198.20
92620Evaluation of hearing function brain responses$88.68

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.