CPT 92524: Evaluation of Voice Quality, Nasality, and Vocal Behavior
Medicare pays $113 and commercial payers pay $213 on average nationally for this procedure.
CPT code 92524 is an evaluation by a speech-language pathologist of voice quality, nasality, and overall vocal behavior, typically performed as an outpatient or clinic-based diagnostic service to assess voice and resonance disorders and guide further treatment or referral.
For related coverage guidance, see recent payer policy updates: Clinical Review Criteria Intraoperative Neurophysiological Monitoring (IONM), Remote Electrical Neuromodulation for Migraines (i.e., Nerivio®), Lumbar Microdiscectomy.
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National Reimbursement Benchmarks
Across national payers, Medicare average reimbursement for CPT 92524 sits at $113.30, notably below the BUCA commercial average of $212.80; BUCA’s mean is roughly $99.50 higher than Medicare, reflecting a sizable commercial premium versus the Medicare baseline. This gap highlights how commercial networks, represented here by BUCA, pay materially more on average for this speech-language pathology code than the federal program.
Examining dispersion using the interquartile range (P75–P25), Blue Cross Blue Shield shows the widest spread at $115.90 (P75 $315.20 minus P25 $199.30), indicating more variability across its reimbursed rates. Aetna and Cigna are relatively tighter with ranges of $66.10 and $109.00 respectively, while UnitedHealth Group’s IQR is $89.20. BUCA’s IQR is $103.70 and Medicare’s IQR is $7.00, making Medicare the tightest by this measure and Blue Cross Blue Shield the most dispersed.