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See a sample rate comparisonCPT 69706 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.
Nose And Throat Surgery, Surgery On The Nose And Throat. During The Procedure A Scope Is Used To View The Area And A Small Balloon Is Used To Open Up A Nasal Passage.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Auditory System |
| Common Place of Service | 11 - Office 24 - Ambulatory Surgical Center |
| Common Modifiers | None 59 - Distinct Procedural Service 51 - Multiple procedures |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 69706 |
| Medicaid Fee Schedule | View Medicaid rates for 69706 |
National average reimbursement for CPT 69706 by major payers:
$3,249.13
$4,450.53
$3,993.19
$4,800.98
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CPT 69706
5 of 25 sample ratesHigher to lower in this preview
Texas Health Presbyterian Hospital Dallas
$16,929.00Published rateVcu Health Ambulatory Surgery Center, LLC
Vcu Health Ambulatory Surgery Center LLC
$5,304.00Published rateSurgery Center Of Gilbert LLC, Surgery Center Of Gilbert
Surgery Center Of Gilbert, LLC
$3,926.00Published rateValley Surgical Center Ltd, Valley Surgery Center
Valley Surgical Center Ltd
$2,000.00Published rateThe Endoscopy Center Of Bristol
$425.00Published rate
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See a sample payer proposalCPT 69706 vs. Other Surgical Procedures on the Auditory System Codes
The CPT 69706 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 69706 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 |
|---|---|---|
| 69676-CPT | High | Neurectomy Tympanic Unilateral |
| 69700-CPT | Moderate | Closure Postauric Fistula Mastoid |
| 69705-CPT | High | Nose And Throat Surgery, Surgery On The Nose And Throat. During The Procedure A Scope Is Used To View The Area And A Small Balloon Is Used To Open Up A Nasal Passage. |
| 69706-CPT | High | Nose And Throat Surgery, Surgery On The Nose And Throat. During The Procedure A Scope Is Used To View The Area And A Small Balloon Is Used To Open Up A Nasal Passage. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 69706. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 69706 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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