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 69200 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.
Remval Foreign Body From Xtrnal Auditory Canal; W/O Gnral Ane, Removal Foreign Body From External Auditory Canal; Without General Ane
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Auditory System |
| Common Place of Service | 11 - Office 23 - Emergency Room 20 - Urgent Care Facility |
| Common Modifiers | None RT - Right side of body LT - Left side of body |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 69200 |
| Medicaid Fee Schedule | View Medicaid rates for 69200 |
National average reimbursement for CPT 69200 by major payers:
$116.64
$123.21
$131.03
$145.53
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 69200.
CPT 69200
5 of 25 sample ratesHigher to lower in this preview
North Garland Surgery Center LLP, Baylor Scott & White Surgicare - North Garland
North Garland Surgery Center LLP
$1,446.00Published rateBaptist Health Surgery Center, LLC, Baptist Health Surgery Center At Boca Raton Research Park
Baptist Health Surgery Center LLC
$366.00Published rateFresno Ca Multi Asc Lp, Herndon Surgery Center
Fresno Ca Multi Asc
$160.00Published rateHendi Ambulatory Surgery Center, PC
Hendi Ambulatory Surgery Center PC
$98.00Published rateEndoscopy Center Of North Carolina
$42.00Published 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 69200 vs. Other Surgical Procedures on the Auditory System Codes
The CPT 69200 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 69200 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 |
|---|---|---|
| 69000-CPT | Moderate | Drain Infection From The Ear, Surgery To Drain Blood Pus Or Fluid From An Abscess (Pocket Of Infection) Or Hematoma (Collection Of Blood Under The Skin) Located In The Ear. |
| 69020-CPT | Moderate | Drain Infection From Ear Canal, Surgery To Drain Blood Pus Or Fluid From A Pocket Of Infection (Abscess) In The Ear Canal. |
| 69200-CPT | Low | Remval Foreign Body From Xtrnal Auditory Canal; W/O Gnral Ane, Removal Foreign Body From External Auditory Canal; Without General Ane |
| 69205-CPT | Low | Remval Foreign Body From Xtrnal Auditory Canal; W/ Gnral Anesth, Removal Foreign Body From External Auditory Canal; With General Anesth |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 69200. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 69200 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 69200) and we'll show you how you compare in 15 minutes or less.