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 69610 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.
Tympanic Membrane Repair With, Tympanic Membrane Repair With Or Without Site Preparationor Perforation For Closure With Or Without Patch
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Auditory System |
| Common Place of Service | 24 - Ambulatory Surgical Center 22 - On Campus Outpatient Hospital |
| Common Modifiers | None RT - Right side of body LT - Left side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 69610 |
| Medicaid Fee Schedule | View Medicaid rates for 69610 |
National average reimbursement for CPT 69610 by major payers:
$497.36
$491.33
$527.27
$473.94
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 69610.
CPT 69610
5 of 25 sample ratesHigher to lower in this preview
Med City Dallas Outpatient Surgery Center, L.P., Medical City Surgery Center/Dallas
$5,464.00Published rateLeonardtown Surgery Center LLC
Leonardtown Surgery Center, LLC
$2,388.00Published rateRenaissance Surgery Center, LLC
Renaissance Surgery Center LLC
$1,435.00Published rateEndoscopy Associates, LLC
Endoscopy Associates LLC
$1,078.00Published rateSpokane Digestive Disease Center, P.S., South Asc
Spokane Digestive Disease Center P.S.
$527.00Published 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 69610 vs. Other Surgical Procedures on the Auditory System Codes
The CPT 69610 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 69610 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 |
|---|---|---|
| 69610-CPT | Moderate | Tympanic Membrane Repair With, Tympanic Membrane Repair With Or Without Site Preparationor Perforation For Closure With Or Without Patch |
| 69620-CPT | Moderate | Myringoplasty Uncomplicated |
| 69631-CPT | High | Tympanoplasty Without Mastoide, Tympanoplasty Without Mastoidectomy (Including Canalplasty Atticotomy Andor Middle Ear Surgery) Initial Or Revision Without Ossicular Chain Reconstruction |
| 69632-CPT | High | Eardrum And Middle Ear Surgery, Surgery To Repair The Eardrum And Reconstruct The Chain Of Middle Ear Bones That Transmit Sound (Ossicular Chain). The Procedure May Involve The Use Of A Full Or Partial Prosthesis For The Ossicular Chain. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 69610. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 69610 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 69610) and we'll show you how you compare in 15 minutes or less.