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 69222 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.
Debrideme Mastoidect Cavity Complx (Eg W/ Anesthe Or Mor, Debridement Mastoidectomy Cavity Complex (Eg With Anesthesia Or Mor
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Auditory System |
| Common Place of Service | 11 - Office 22 - On Campus Outpatient Hospital |
| Common Modifiers | None LT - Left side of body RT - Right side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 69222 |
| Medicaid Fee Schedule | View Medicaid rates for 69222 |
National average reimbursement for CPT 69222 by major payers:
$269.71
$272.99
$294.48
$236.62
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 69222.
CPT 69222
5 of 25 sample ratesHigher to lower in this preview
Memorial Hermann Endoscopy & Surgery Center North Houston, LLC, North Houston Endoscopy & Surgery Center
$1,831.00Published rateEncinitas Endoscopy Center, LLC, The Endoscopy Center
$688.00Published rateDigestive Health Specialists Endoscopy Center Arizona, LLC
Digestive Health Specialists Endoscopy Center Arizona LLC
$371.00Published rateRichfield Surgery Center, LLC
$200.00Published rateKings Eye Center Medical Group, Inc., Kings Eye Surgical Center
Kings Eye Center Medical Group, Inc.
$108.00Published 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 69222 vs. Other Surgical Procedures on the Auditory System Codes
The CPT 69222 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 69222 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 |
|---|---|---|
| 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. |
| 69209-CPT | Low | Removal Impacted Cerumen Using, Removal Impacted Cerumen Using Irrigationlavage Unilateral |
| 69210-CPT | Low | Remval Impacted Cerumen Requir Instrumentat Unilat, Removal Impacted Cerumen Requiring Instrumentation Unilateral |
| 69222-CPT | Moderate | Debrideme Mastoidect Cavity Complx (Eg W/ Anesthe Or Mor, Debridement Mastoidectomy Cavity Complex (Eg With Anesthesia Or Mor |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 69222. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 69222 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 69222) and we'll show you how you compare in 15 minutes or less.