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 69120 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.
Amputation Auricle Complete
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Auditory System |
| Common Place of Service | 21 - Inpatient Hospital 11 - Office |
| Common Modifiers | None LT - Left side of body RT - Right side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 69120 |
| Medicaid Fee Schedule | View Medicaid rates for 69120 |
National average reimbursement for CPT 69120 by major payers:
$560.41
$509.92
$514.71
$643.75
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 69120.
CPT 69120
5 of 25 sample ratesHigher to lower in this preview
Surgery Affiliate Of El Paso, LLC, Foundation Surgery Affiliate Of El Paso, LLC
Surgery Affiliate Of El Paso LLC
$9,192.00Published rateNorth Jersey Gastroenterology & Endoscopy Center P.A.
North Jersey Gastroenterology Endoscopy Center PA
$2,717.00Published rateSurgcenter Of Southern Maryland, LLC
Surgcenter Of Southern Maryland
$2,101.00Published rateOtay Lakes Surgery Center, LLC
Otay Lakes Surgery Center
$1,155.00Published rateWest Clinic Astc, West Clinic, PC
The West Clinic, PLLC
$644.00Published 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 69120 vs. Other Surgical Procedures on the Auditory System Codes
The CPT 69120 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 69120 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 |
|---|---|---|
| 69110-CPT | Moderate | Excis External Ear;Part,Smpl Repair |
| 69120-CPT | Moderate | Amputation Auricle Complete |
| 69140-CPT | High | Remove Ear Canal Growth, Surgery To Remove A Noncancerous Bony Growth In The External Ear Canal (Passageway From Outer Ear To Eardrum). |
| 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 69120. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 69120 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 69120) and we'll show you how you compare in 15 minutes or less.