Rate Benchmarking
Compare your rates with similar providers.
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonCPT 69090 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Cosmetic Ear Piercing, A Standard Ear Piercing With A Sterile Needle Or Piercing Gun Performed By A Medical Professional.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Auditory System |
| Common Place of Service | 11 - Office 19 - Off Campus Outpatient Hospital |
| Common Modifiers | None 50 - Bilateral Procedure LT - Left side of body |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 69090 |
National average reimbursement for CPT 69090 by major payers:
$46.54
$39.75
$35.33
$50.53
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 69090.
CPT 69090
5 of 25 sample ratesHigher to lower in this preview
Stone Oak Surgicenter, LLC
$2,732.00Published rateProliance Surgeons, Inc., P.S., Proliance Skagit Northwest Orthopedic Surgery Center
Proliance Surgeons, Inc., P.S.
$1,367.00Published rateLutherville Surgery Center, LLC
Lutherville Surgery Center LLC
$670.00Published rateEye Surgery Center, LLC
Eyecare Management, LLC
$520.00Published rateSouthwest Surgery Center LLC
$200.00Published rate
Get a free rate benchmark for your specialty.
Choose your state and specialty to build a report from payer-published rates.
Use market rates to prepare your payer proposal.
Payer Contract Negotiation
Draft a fee schedule renegotiation letter.
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalCPT 69090 vs. Other Surgical Procedures on the Auditory System Codes
The CPT 69090 code is part of the Surgery services used for Surgical Procedures on the Auditory System. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 69090 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 69090-CPT | Low | Cosmetic Ear Piercing, A Standard Ear Piercing With A Sterile Needle Or Piercing Gun Performed By A Medical Professional. |
| 69100-CPT | Low | Biopsy External Ear |
| 69105-CPT | Low | Biopsy External Auditory Canal |
| 69145-CPT | Moderate | Remove Ear Canal Lesion, Surgery To Remove Abnormal Tissue (Lesion) From The External Ear Canal (Passageway From Outer Ear To Eardrum). |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 69090. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 69090 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
FREE SAMPLE MARKET COMPARISON
Let's review your payer contracts side-by-side with the market.
Bring your top codes (like CPT 69090) and we'll show you how you compare in 15 minutes or less.