Evaluation and testing for balance with recording
Medicare pricing data for 3,810 providers across 51 states
Note: These costs reflect the Medicare physician/supplier component. Hospital facility fees are billed separately and can be 2-5x the physician fee.
💡 What You Should Know
Evaluation and testing for balance with recording (HCPCS code 92540) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $106.58, but hospitals typically charge $286.27 — a 2.7x markup. Prices vary significantly by state and provider.
🏷️ Typical Out-of-Pocket Cost
Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $106.58, your out-of-pocket cost would be approximately $21.32. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.
What Hospitals Charge vs. What Medicare Pays
Hospitals charge 2.7x more than what Medicare allows for this procedure. Medicare actually pays $82.19 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| California | $118 | $407 | 204 | 7,051 | +10.9% |
| Connecticut | $115 | $292 | 56 | 591 | +8.3% |
| New Jersey | $115 | $242 | 133 | 2,679 | +8.2% |
| Maryland | $115 | $240 | 118 | 3,816 | +7.9% |
| Hawaii | $113 | $187 | 7 | 188 | +6.2% |
| New York | $113 | $258 | 352 | 14,373 | +5.9% |
| Colorado | $111 | $273 | 65 | 710 | +4.0% |
| Delaware | $109 | $216 | 14 | 308 | +2.5% |
| Wyoming | $108 | $329 | 4 | 42 | +1.7% |
| Rhode Island | $108 | $268 | 6 | 30 | +1.7% |
| Nevada | $108 | $335 | 31 | 1,370 | +1.4% |
| Virginia | $107 | $237 | 102 | 1,395 | +0.8% |
| Florida | $107 | $290 | 406 | 8,387 | +0.6% |
| Illinois | $107 | $456 | 111 | 1,470 | +0.6% |
| Puerto Rico | $104 | $127 | 31 | 154 | -2.2% |
| Montana | $104 | $221 | 14 | 217 | -2.3% |
| Washington | $104 | $260 | 60 | 868 | -2.6% |
| Texas | $104 | $293 | 275 | 4,004 | -2.8% |
| Utah | $103 | $285 | 50 | 619 | -3.1% |
| Michigan | $102 | $266 | 160 | 1,676 | -4.2% |
| District of Columbia | $102 | $201 | 9 | 77 | -4.4% |
| Pennsylvania | $102 | $314 | 122 | 1,466 | -4.5% |
| Georgia | $102 | $318 | 153 | 1,716 | -4.7% |
| North Carolina | $101 | $264 | 116 | 1,508 | -4.9% |
| Oklahoma | $101 | $249 | 37 | 715 | -5.0% |
| Indiana | $101 | $225 | 69 | 1,172 | -5.0% |
| Iowa | $101 | $296 | 26 | 213 | -5.1% |
| Kentucky | $101 | $202 | 48 | 499 | -5.6% |
| South Carolina | $101 | $346 | 74 | 846 | -5.6% |
| Nebraska | $100 | $223 | 29 | 402 | -5.7% |
| West Virginia | $100 | $192 | 17 | 393 | -5.8% |
| Minnesota | $99 | $502 | 32 | 454 | -7.2% |
| Tennessee | $99 | $312 | 97 | 1,222 | -7.4% |
| Alabama | $98 | $239 | 101 | 1,466 | -7.7% |
| Missouri | $98 | $285 | 45 | 973 | -7.8% |
| New Mexico | $98 | $229 | 21 | 159 | -7.8% |
| Mississippi | $98 | $316 | 41 | 592 | -8.1% |
| Kansas | $97 | $244 | 41 | 1,173 | -8.7% |
| New Hampshire | $97 | $237 | 20 | 212 | -8.7% |
| Louisiana | $96 | $273 | 81 | 1,330 | -10.1% |
| Massachusetts | $95 | $322 | 57 | 989 | -10.5% |
| Maine | $94 | $156 | 6 | 65 | -11.7% |
| Ohio | $93 | $252 | 120 | 1,147 | -12.7% |
| Oregon | $92 | $297 | 24 | 380 | -13.3% |
| Arkansas | $92 | $251 | 17 | 173 | -14.0% |
| North Dakota | $90 | $315 | 5 | 17 | -15.9% |
| Arizona | $89 | $205 | 102 | 3,093 | -16.5% |
| Idaho | $89 | $202 | 25 | 338 | -16.7% |
| Vermont | $87 | $252 | 7 | 35 | -18.3% |
| Wisconsin | $87 | $652 | 42 | 276 | -18.4% |
| South Dakota | $79 | $178 | 9 | 200 | -26.2% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber