CPT 92516: Electroneuronography for Facial Nerve Evaluation
Medicare pays $78 and commercial payers pay $176 on average nationally for this procedure.
CPT code 92516 describes electroneuronography, a noninvasive electrical stimulation test to evaluate facial nerve function and integrity in patients with facial nerve impairment; service type: electrodiagnostic nerve conduction study focused on the facial nerve; typical site of service: outpatient neurology or otolaryngology clinic or hospital outpatient department.
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National Reimbursement Benchmarks
Medicare's mean allowed rate for CPT 92516 sits at $78.30, which is notably lower than BUCA’s commercial mean of $175.90. The gap of $97.60 highlights a substantial differential between the federal program and this representative commercial payer average, signaling that commercial contracts can pay more than double Medicare in many localities.
Dispersion (P75 minus P25) is widest for Blue Cross Blue Shield at $102.80 (P75 $311.60 minus P25 $208.80), indicating large variability in negotiated rates. UnitedHealth Group ($60.00 spread), Cigna ($64.30 spread), and BUCA ($82.50 spread between P75 $216.80 and P25 $134.30) show intermediate dispersion. Aetna is the tightest of the listed commercial payers with a spread of $40.00, reflecting more compressed negotiated outcomes.