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 comparisonHealthcare 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.
| Key Fact | Detail |
|---|---|
| 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 Level | High |
| Medicare Fee Schedule | View Medicare rates for 69725 |
| Medicaid Fee Schedule | View Medicaid rates for 69725 |
National average reimbursement for CPT 69725 by major payers:

$2,530.99

$2,428.95

$2,470.56

$3,037.98
Choose a payer to see a sample of rates for CPT 69725.
Spokane Urology, Inc., P.S.
Synergy Surgicenter LLC
Choose your state and specialty to build a report from payer-published rates.
Rate Benchmarking
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonPayer Contract Negotiation
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalCPT 69725 vs. Other Surgical Procedures on the Auditory System Codes
The CPT 69725 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 69725 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 |
| 69720-CPT | High | Dcompress Facial Nrve Intratemporal; Lateral To Geniculat Gangl, Decompression Facial Nerve Intratemporal; Lateral To Geniculate Gangl |
| 69725-CPT | High | Dcompress Facial Nrve Intratemporal; Inclu Medial To Genicul, Decompression Facial Nerve Intratemporal; Including Medial To Genicul |
| 69730-CPT | High | Rplc Oi Implt Sk Tc Esp 100, Replacement Including Removal Of Existing Device Osseointegrated Implant Skull With Magnetic Transcutaneous Attachment To External Speech Processor Outside The Mastoid And Involving A Bony Defect Greater Than Or Equal To 100 Sq Mm Surface Area Of Bone Deep To The Outer Cranial Cortex |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 69725. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 69725 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.
Bring your top codes (like CPT 69725) and we'll show you how you compare in 15 minutes or less.