Cost analysis for CPT 92557 — Comprehensive hearing and speech recognition test
Average Medicare Payment
$25.65
2023 data
Total Payments (2023)
$32.1M
Services (2023)
1.2M
Price Change (2014–2023)
-4.8%
| Year | Avg Payment | Total Payments | Services | YoY Change |
|---|---|---|---|---|
| 2014 | $26.93 | $30.6M | 1.1M | — |
| 2015 | $26.56 | $30.8M | 1.1M | -1.4% |
| 2016 | $26.30 | $31.3M | 1.2M | -1.0% |
| 2017 | $26.37 | $31.8M | 1.2M | +0.3% |
| 2018 | $26.51 | $32.6M | 1.2M | +0.5% |
| 2019 | $27.04 | $33.7M | 1.2M | +2.0% |
| 2020 | $26.47 | $25.5M | 939.0K | -2.1% |
| 2021 | $27.61 | $32.0M | 1.1M | +4.3% |
| 2022 | $26.31 | $31.0M | 1.1M | -4.7% |
| 2023 | $25.65 | $32.1M | 1.2M | -2.5% |
The most expensive state pays 1.3x more than the cheapest for this procedure. NY averages $30.02 vs ID at $22.73.
| State | Avg Payment | Total Payments | Services | Providers |
|---|---|---|---|---|
| NY | $30.02 | $3.6M | 119.7K | 685 |
| NJ | $29.53 | $1.2M | 42.2K | 235 |
| DC | $29.43 | $63.0K | 2.1K | 19 |
| AK | $28.76 | $49.3K | 1.7K | 15 |
| CA | $28.63 | $2.9M | 101.0K | 603 |
| CT | $28.18 | $421.3K | 14.9K | 128 |
| MD | $27.66 | $1.1M | 41.0K | 249 |
| MA | $27.49 | $1.3M | 46.4K | 277 |
| RI | $26.74 | $121.0K | 4.5K | 37 |
| HI | $26.64 | $104.4K | 3.9K | 28 |
| FL | $26.38 | $2.7M | 101.9K | 610 |
| WA | $26.08 | $640.9K | 24.6K | 187 |
| IL | $26.07 | $1.1M | 42.1K | 349 |
| CO | $26.07 | $539.1K | 20.7K | 211 |
| NV | $25.98 | $170.6K | 6.6K | 48 |
| DE | $25.96 | $188.3K | 7.3K | 36 |
| GU | $25.94 | $3.4K | 132 | 1 |
| PA | $25.93 | $1.7M | 64.2K | 485 |
| VA | $25.86 | $916.7K | 35.5K | 256 |
| TX | $25.51 | $2.0M | 78.2K | 680 |
| PR | $25.35 | $26.7K | 1.1K | 29 |
| AZ | $25.29 | $784.4K | 31.0K | 217 |
| NH | $25.23 | $162.9K | 6.5K | 47 |
| OR | $25.20 | $304.6K | 12.1K | 108 |
| MI | $25.13 | $664.6K | 26.4K | 292 |
| MT | $25.08 | $104.2K | 4.2K | 36 |
| GA | $24.95 | $830.6K | 33.3K | 298 |
| NC | $24.83 | $929.5K | 37.4K | 315 |
| LA | $24.76 | $302.2K | 12.2K | 137 |
| MN | $24.68 | $421.1K | 17.1K | 193 |
| AL | $24.67 | $430.7K | 17.5K | 178 |
| SC | $24.64 | $564.5K | 22.9K | 133 |
| WY | $24.59 | $52.9K | 2.2K | 23 |
| MO | $24.47 | $529.2K | 21.6K | 163 |
| SD | $24.44 | $86.5K | 3.5K | 34 |
| ME | $24.35 | $96.1K | 3.9K | 36 |
| KY | $24.33 | $309.6K | 12.7K | 128 |
| UT | $24.29 | $155.1K | 6.4K | 85 |
| NM | $24.23 | $122.5K | 5.1K | 45 |
| IN | $24.21 | $531.5K | 22.0K | 220 |
| MS | $24.19 | $277.5K | 11.5K | 66 |
| IA | $24.17 | $262.9K | 10.9K | 90 |
| KS | $24.17 | $323.0K | 13.4K | 107 |
| VI | $24.13 | $3.7K | 153 | 4 |
| TN | $24.05 | $643.4K | 26.7K | 256 |
| OK | $23.92 | $349.7K | 14.6K | 93 |
| OH | $23.81 | $914.1K | 38.4K | 360 |
| NE | $23.67 | $194.9K | 8.2K | 75 |
| AR | $23.65 | $235.1K | 9.9K | 72 |
| ND | $23.63 | $55.9K | 2.4K | 19 |
| WI | $23.62 | $352.6K | 14.9K | 175 |
| Provider | Specialty | State | Payments | Services | Avg/Service |
|---|---|---|---|---|---|
| Debra Hamila | Audiologist | AZ | $56.3K | 2.3K | $24.74 |
| Kenneth Scioscia | Otolaryngology | NY | $47.1K | 1.5K | $31.94 |
| Lance Nelson | Audiologist | CA | $47.1K | 1.7K | $27.90 |
| Dina Giacopelli | Audiologist | NY | $41.5K | 1.4K | $30.10 |
| Susan Scott | Audiologist | FL | $38.6K | 1.4K | $27.26 |
| John Coleman | Audiologist | CA | $37.8K | 1.4K | $27.43 |
| Boris Bentsianov | Otolaryngology | NY | $37.3K | 1.1K | $32.92 |
| Robin Robinson | Audiologist | MD | $36.7K | 1.4K | $25.78 |
| Vardush Keshishyan | Audiologist | CA | $36.2K | 1.2K | $30.75 |
| Joseph Hegarty | Otolaryngology | CO | $35.7K | 1.4K | $26.38 |
| Jennifer Maw | Otolaryngology | CA | $32.5K | 1.0K | $32.46 |
| Jacqueline Ingram | Audiologist | NJ | $32.5K | 1.2K | $28.03 |
| Timothy Jaquez | Audiologist | TX | $30.8K | 1.2K | $26.03 |
| Jacob Johnson | Otolaryngology | CA | $29.9K | 947 | $31.55 |
| Mindy Cacciatore | Audiologist | NY | $29.0K | 897 | $32.34 |
| Andrew Macielinski | Audiologist | PA | $28.9K | 949 | $30.47 |
| Maryana Peravozchykava | Audiologist | NY | $27.7K | 837 | $33.05 |
| Amanda Shapiro | Audiologist | MA | $27.5K | 1.0K | $26.62 |
| Nancy Fontana | Audiologist | NY | $27.2K | 836 | $32.49 |
| Ralph Bassett | Otolaryngology | AZ | $27.0K | 1.0K | $26.76 |
Based on the data, CPT 92557 shows a 1.3x variation in pricing across states — relatively consistent by Medicare standards.
Costs have decreased 4.8% since 2014. Medicare's fee schedule attempts to standardize pricing, though some variation is expected due to geographic cost-of-living adjustments and practice expense differences.
This analysis is based on publicly available CMS data and does not account for patient complexity, comorbidities, or facility-specific factors that may justify pricing differences.
Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.