CPT 92508: Group Treatment for Speech, Language, and Auditory Disorders
Medicare pays $25 and commercial payers pay $66 on average nationally for this procedure.
CPT code 92508 describes treatment provided to a group of two or more individuals with communication and hearing difficulties, focusing on assessment and therapeutic intervention for patients with impaired sound production and significant receptive and expressive language deficits; service type: group speech-language and auditory therapy/assessment; typical site of service: speech-language pathology or audiology clinic, rehabilitation center, or outpatient therapy department.
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National Reimbursement Benchmarks
National averages place Blue Cross Blue Shield and other commercial payers above Medicare for CPT 92508: Medicare mean is $24.8 while BUCA’s mean sits substantially higher at $66, indicating commercial networks on average reimburse roughly $41.20 more than Medicare for this code. This spread highlights a material gap between government and commercial payment levels for this service.
Dispersion varies notably across payers. Blue Cross Blue Shield shows the widest interquartile spread at $80.90 (P75 $125.40 minus P25 $44.50), followed by BUCA with a spread of $54.50 (P75 $89.50 minus P25 $35.00). The tightest IQRs are Aetna at $8.00 (P75 $26.00 minus P25 $18.00) and UnitedHealth Group at $22.40 (P75 $46.90 minus P25 $24.50), indicating more consistency in negotiated rates for those payers.