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 69552 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.
Excision Aural Glomus Tumor;Transmastoid
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Auditory System |
| Common Place of Service | 22 - On Campus Outpatient Hospital 24 - Ambulatory Surgical Center |
| Common Modifiers | None LT - Left side of body RT - Right side of body |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 69552 |
| Medicaid Fee Schedule | View Medicaid rates for 69552 |
National average reimbursement for CPT 69552 by major payers:
$2,129.95
$2,029.42
$2,096.53
$2,573.79
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 69552.
CPT 69552
5 of 25 sample ratesHigher to lower in this preview
Southwest Connecticut Surgery Center, LLC
$5,731.00Published rateLebonheur East Surgery Center II Lp, Lebonheur East Surgery Center Lp
Lebonheur East Surgery Center II Lp
$3,485.00Published rateGreenbelt Urology Institute, L.L.C.
Greenbelt Urology Institute LLC
$2,566.00Published rateCoastal Carolina Centers Of Urology And Surgery LLC, Rivertown Surgery Center
Coastal Carolina Centers Of Urology And Surgery LLC
$1,300.00Published rateEye Surgical Center, LLC, The Institute For Refractive And Intraocular Surgery
Eye Surgical Center LLC
$586.00Published 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 69552 vs. Other Surgical Procedures on the Auditory System Codes
The CPT 69552 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 69552 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 |
|---|---|---|
| 69540-CPT | Moderate | Excision Aural Polyp |
| 69550-CPT | High | Exc Aural Glomus Tumor Transcanal |
| 69552-CPT | High | Excision Aural Glomus Tumor;Transmastoid |
| 69604-CPT | High | Remove Bone Behind The Ear, Surgery To Remove The Bone Behind The Ear (Mastoid) And To Reconstruct The Eardrum (Tympanic Membrane). |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 69552. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 69552 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 69552) and we'll show you how you compare in 15 minutes or less.