The Case for Vestibular Care: A How-To for Audiologists

23 July 2025

Adding vestibular services is an excellent way for audiology clinics to support more patients, grow referrals, and boost revenue. With more people seeking help with dizziness and balance issues, now is the perfect time to expand your care.

This blog will:

Discuss why vestibular services matter
Debunk myths about space, cost, and complexity
Offer a scalable model on how to add vestibular services
Provide examples of billing codes and potential revenue
Share a clinic’s insights on implementing vestibular services

Why Vestibular Services Matter

Over 90 million Americans will experience dizziness, vertigo, or balance-related issues in their lifetime. Yet, in many communities, access to specialized vestibular care remains limited. Audiologists are uniquely positioned to fill this gap.

By expanding your scope of care to include vestibular diagnostics and rehabilitation, you can:

Help more patients by addressing a broader range of symptoms.
Generate more referrals from physicians and other healthcare providers.
Improve patient outcomes through comprehensive, integrated care.
Diversify your revenue streams beyond hearing aid sales and fittings.

Breaking the Vestibular Care Myths

Myth 1: We Don’t Have Enough Space

A common concern among audiologists is limited space. With today’s compact vestibular equipment, a room as small as 10x10 feet is often all it takes to begin offering effective vestibular care.

Myth 2: Vestibular Services Aren’t Profitable

Let’s look at the potential revenue from what we call our “Vestibular Beginner Bundle.” This bundle includes video goggles and a treatment table—tools that allow you to evaluate and treat the most common causes of dizziness.

With just a few key CPT codes, you can see how quickly these services add value, even with a modest number of patients per week. Here’s an example of the annualized revenue potential based on typical patient volume.

Myth 3: Vestibular Equipment Is Beyond Our Budget

Many clinics assume that vestibular care requires a significant upfront investment. While advanced systems can be costly, the truth is, you don’t have to start big.

At e3 Diagnostics, we follow a “crawl, walk, run” approach that lets you begin with the essentials. You can start with a few key tools and expand your offerings as your patient volume and confidence grow. This scalable model makes it easy to add vestibular services without straining your budget. We also offer flexible financing options.

A Scalable Path to Vestibular Services Success

Here’s what a phased approach might look like:

Crawl: Start with video goggles—a low-cost, high-impact tool that allows you to evaluate and treat BPPV (Benign Paroxysmal Positional Vertigo) and get reimbursed.
Walk: Add a VNG (Videonystagmography) system to assess more complex vestibular disorders.
Run: Expand into advanced diagnostics like rotary chairs, video head impulse testing (vHIT), VEMPs, and evoked potentials.

The Bottom Line

Adding vestibular services isn’t just about growing your business—it’s about meeting a critical need in your community. With the right tools, training, and support, you can confidently expand your offerings, improve patient care, and strengthen your clinic’s financial health.

At e3 Diagnostics, we’re here to help you every step of the way. Whether you’re just exploring the idea or ready to dive in, we’ll work with you to create a customized plan that fits your goals, space, and budget.

Watch Now: Insights from Area Hearing & Speech on Adding Vestibular Care.