Data Platform
Sign InTry for Free

CPT 69667 Fee Schedule

Last Verified: November 2025

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.

Repair Round Window Fistula
Key FactDetail
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 LevelHigh

National average reimbursement for CPT 69667 by major payers:

bcbs

$1,094.19

uhc

$1,042.75

aetna

$1,097.56

cigna

$1,352.28

Preview provider-level rates for...
For billing codeCPT 69667
PayerCodeRateNPITax IDStateSpecialty

Select a payer to view fee schedule data

Choose a payer from the options above to see rates for CPT 69667

United
69667$2206.001992713176 - DESERT RIDGE OUTPATIENT SURGERY LLC202528902 - (AZ) DESERT RIDGE OUTPATIENT SURGERY LLCAZAmbulatory Surgical Clinic/Center (261QA1903X)
United
69667$1225.001053711275 - ASC LONE TREE LLC, ICON SURGERY CENTER OF DENVER471652599 - (CO) ASC LONE TREE LLCCOAmbulatory Surgical Clinic/Center (261QA1903X)
United
69667$1130.001073946216 - MADISON PHYSICIAN SURGERY CENTER, LLC, MADISON PHYSICIANS SURGERY CENTER, LLC462828889 - (MS) MADISON PHYSICIAN SURGERY CENTER LLCMSAmbulatory Surgical Clinic/Center (261QA1903X)
United
69667$1505.001104866904 - SOUTHWESTERN EYE CENTER, SOUTHWESTERN EYE SURGICENTER-SHOW LOW860423068 - SOUTHWESTERN EYE CENTER, LTD.AZAmbulatory Surgical Clinic/Center (261QA1903X)
United
69667$975.001023567260 - SKI AMBULATORY SURGICAL CENTERS, LLC813831008 - (AZ) SKI AMBULATORY SURGICAL CENTERS LLCAZAmbulatory Surgical Clinic/Center (261QA1903X)
United
69667$7810.001659839686 - AURORA SURGERY CENTERS, LLC811401714 - (WI) AURORA SURGERY CENTERS LLCWIAmbulatory Surgical Clinic/Center (261QA1903X)
United
69667$1533.001114291440 - PREMIER ASC LLC, PREMIER ORTHOPAEDIC SURGERY CENTER352433859TNAmbulatory Surgical Clinic/Center (261QA1903X)
United
69667$1490.001740700111 - M. REZA MIZANI, M.D., P.A., TOTAL VASCULAR CARE200743330 - (TX) M. REZA MIZANI MD, PATXAmbulatory Surgical Clinic/Center (261QA1903X)
United
69667$1045.001962963728 - VISIONARY SURGERY CENTER OF NEVADA, LLC832017500 - (NV) VISIONARY SURGERY CENTER OF NEVADA LLCNVAmbulatory Surgical Clinic/Center (261QA1903X)
United
69667$1370.001255397964 - SURGERY CENTERS OF DES MOINES LTD363562598IAAmbulatory Surgical Clinic/Center (261QA1903X)
United
69667$1474.001720606932 - PHYSICIANS CLINIC INC470687317 - PHYSICIANS CLINIC INCNEAmbulatory Surgical Clinic/Center (261QA1903X)
United
69667$1968.001275158495 - BCC CHANDLER LLC851284830 - (AZ) BCC CHANDLER LLCAZAmbulatory Surgical Clinic/Center (261QA1903X)
United
69667$801.001629262274 - THE SURGERY CENTER OF THE VILLAGES, LLC, THE SURGERY CENTER OF THE VILLAGES208291654 - (FL) THE SURGERY CENTER OF THE VILLAGES LLCFLAmbulatory Surgical Clinic/Center (261QA1903X)
United
69667$1136.001689652638 - INSTITUTE OF ORTHOPAEDIC SURGERY LLC731657293 - (NV) INSTITUTE OF ORTHOPAEDIC SURGERY LLCNVAmbulatory Surgical Clinic/Center (261QA1903X)
United
69667$1561.001356903967 - UNITY LINDEN OAKS SURGERY CENTER800798208NYAmbulatory Surgical Clinic/Center (261QA1903X)
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist

Want to see your competitors' rates?

Start your trial today to unlock complete access to provider rates and fee schedules in your area.

Here's what you can do with PayerPrice

Renegotiate your managed care contracts

Benchmark your current rates against market averages to identify opportunities for rate optimization.

Prospect for new business using fee schedules

Access every provider's negotiated rates for every billing code in your market to inform your prospecting strategies.

Integrate real-time payer data into your workflows

Automatically keep fee schedules up-to-date without adding yet another log-in to your insurance systems. Connect via API or SQL.

PayerPrice shows you the exact negotiated rates that insurers publish under federal transparency rules.
We display the raw data directly from insurers' files, giving you the same information they make public. Learn more about Price Transparency.

CPT 69667 vs. Other Surgical Procedures on the Auditory System Codes

The CPT 69667 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 69667 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
69604HighRev Mastoidect To Tympanoplasty
69610ModerateRepair Tympanic Membrane Wo Graft
69662HighRevis'n Of Stapedectomy/Stapedotomy
69667HighRepair Round Window Fistula

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 69667. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the 69667 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 69667) and we'll show you how you compare in 15 minutes or less.

Medicare Reimbursement Lookup Tool

PayerPrice provides a free medicare lookup tool for physician fee schedule, drug ASP, MS-DRG weights, anesthesia conversion factors and other medicare related data.