Eye & ear
92557 - RVUs & Medicare payment (2026)
Comprehensive hearing test (audiometry).
| Component | Non-facility | Facility |
|---|---|---|
| Work RVU | 0.60 | 0.60 |
| Practice expense RVU | 0.46 | 0.16 |
| Malpractice RVU | 0.01 | 0.01 |
| Total RVUs | 1.07 | 0.77 |
| National payment (CF $33.4009) | $35.74 | $25.72 |
| Qualifying APM payment (CF $33.5675) | $35.92 | $25.85 |
How 92557 payment varies by locality
Medicare adjusts payment with geographic practice cost indices, so the same code pays differently across the 109 fee schedule localities. In 2026, non-facility payment for 92557 ranges from $33.41 in Arkansas (AR) to $46.61 in Alaska (AK); calculate 92557 for your locality.
Alaska (AK) $46.61 San Jose-Sunnyvale-Santa Clara (CA) $44.58 San Jose-Sunnyvale-Santa Clara (CA) $44.53 San Francisco-Oakland-Berkeley (CA) $43.76 San Francisco-Oakland-Berkeley (CA) $43.75 Napa (CA) $41.72 Vallejo (CA) $41.71 NYC Suburbs/Long Island (NY) $40.21 National average $35.74 … 97 more localities between … Alabama (AL) $33.67 Rest Of Missouri (MO) $33.61 Mississippi (MS) $33.52 Arkansas (AR) $33.41
Global period: XXX
No global period: the global surgery concept does not apply to this code.
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Related codes - eye & ear
- 92002 · eye exam, new patient, intermediate
- 92004 · eye exam, new patient, comprehensive
- 92012 · eye exam, established patient, intermediate
- 92014 · eye exam, established patient, comprehensive
- 92083 · visual field examination, extended
- 92134 · optical coherence tomography (oct), retina
- 66984 · cataract removal with intraocular lens insertion
Frequently asked questions
How much does Medicare pay for 92557 in 2026?
The national non-facility payment is $35.74 and the facility payment is $25.72, using the standard $33.4009 conversion factor. Actual amounts vary by Medicare locality; use the RVU calculator for your area.
What is the work RVU for 92557?
The 2026 work RVU for 92557 is 0.60. Total RVUs are 1.07 in the non-facility setting and 0.77 in the facility setting.
Why are the facility and non-facility amounts different?
Only the practice expense component changes by setting. In an office (non-facility) the practice bears the overhead, so the PE RVU is higher; in a hospital or ASC the facility bills its own overhead separately.
Source: CMS Physician Fee Schedule relative value file (rvu26c.zip, retrieved 2026-07-11). Service description is an original plain-English summary, not CPT descriptor text. CPT® is a registered trademark of the American Medical Association. Amounts are estimates before sequestration and claim-level adjustments.