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CPT 69502 Fee Schedule

Last Verified: October 2026

Healthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.

Mastoidectomy Complete
Key FactDetail
Service Type

Surgery

Surgical Procedures on the Auditory System

Common Place of Service

21 - Inpatient Hospital

22 - On Campus Outpatient Hospital

Common Modifiers

None

RT - Right side of body

LT - Left side of body

Complexity LevelHigh
Medicare Fee ScheduleView Medicare rates for 69502
Medicaid Fee ScheduleView Medicaid rates for 69502

National average reimbursement for CPT 69502 by major payers:

bcbs

$1,268.29

uhc

$1,242.52

aetna

$1,304.81

cigna

$1,556.65

Compare published rates across providers.

Choose a payer to see a sample of rates for CPT 69502.

CPT 69502
5 of 25 sample ratesHigher to lower in this preview
  1. Metrocrest Surgery Center Lp, Baylor Surgicare At Carrollton

    Metrocrest Surgery Center Lp

    TXAmbulatory Surgical Clinic/CenterNPI 1780683490Tax ID 30-380493

    $3,150.00Published rate
  2. Regional Plastic Surgery Center PA, Regional Plastic Surgery Center - Sherman

    Regional Plastic Surgery Associates, P.A.

    TXAmbulatory Surgical Clinic/CenterNPI 1871119107Tax ID 75-2365055

    $2,055.00Published rate
  3. Mid Cities Asc, Lp

    TXAmbulatory Surgical Clinic/CenterNPI 1356798854Tax ID 81-1663790

    $1,523.50Published rate
  4. Same Day Surgicare Of New England, Inc., Same Day Surgiclinic

    Same Day Surgicare Of New England, Inc.

    MAAmbulatory Surgical Clinic/CenterNPI 1164469086Tax ID 42-808359

    $969.00Published rate
  5. Conroe Asc, Lp, College Park Heart & Vascular Surgery Center

    TXAmbulatory Surgical Clinic/CenterNPI 1194271338Tax ID 47-1450737

    $624.00Published rate

National sample. Rates vary by location, specialty, and contract.

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Payer Contract Negotiation

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CPT 69502 vs. Other Surgical Procedures on the Auditory System Codes

The CPT 69502 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 69502 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.

CodeComplexityDescription
69433-CPTModerateProcedure To Place Ear Tubes, A Procedure To Implant Tubes Into The Ears In Order To Balance Eardrum Pressure Or Treat Frequent Ear Infections.
69436-CPTModerateProcedure To Place Ear Tubes, A Procedure To Implant Tubes Into The Ears In Order To Balance Eardrum Pressure Or Treat Frequent Ear Infections.
69440-CPTModerateMiddle Ear Explora Through Postauricular Or Ear Canal Ncision, Middle Ear Exploration Through Postauricular Or Ear Canal Incision
69502-CPTHighMastoidectomy Complete

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 69502. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the 69502 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.

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