CPT 92520: Laryngeal Function and Voice Assessment
Medicare pays $95 and commercial payers pay $194 on average nationally for this procedure.
CPT code 92520 describes aerodynamic and acoustic testing used to assess laryngeal function and evaluate suspected voice disorders; this outpatient diagnostic service typically involves quantitative airflow and sound measurements performed in a clinic or speech pathology/otolaryngology office to characterize vocal efficiency and identify physiologic contributors to dysphonia.
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National Reimbursement Benchmarks
Medicare’s mean allowed amount for CPT 92520 is $94.70, which sits below BUCA’s average commercial mean of $194.00; this positions BUCA roughly $99.30 higher than Medicare on average, reflecting a substantial uplift in commercial pricing versus the federal program. Blue Cross Blue Shield and UnitedHealth Group both have mean rates above Medicare as well, while Aetna and Cigna trend closer to or below Medicare’s mean, indicating a mix of commercial positioning relative to the Medicare baseline.
Dispersion measured as the interquartile range (P75 minus P25) is tightest for Medicare at $11.00 and for Aetna at $40.00, suggesting more clustered allowed amounts there. The widest dispersion appears for Blue Cross Blue Shield at $108.10 and BUCA at $86.80, with UnitedHealth Group ($66.80) and Cigna ($70.00) in between; wider IQRs indicate greater variability in mid‑range commercial reimbursement.