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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 | 24 - Ambulatory Surgical Center 22 - On Campus Outpatient Hospital |
| Common Modifiers | None RT - Right side of body SG - Scene to Hospital ESRD facility 22 - Increased Procedural Services LT - Left side of body |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 69730 |
| Medicaid Fee Schedule | View Medicaid rates for 69730 |
National average reimbursement for CPT 69730 by major payers:

$1,053.78

$958.61

$878.40

$1,155.06
Choose a payer to see a sample of rates for CPT 69730.
United Vascular Of Huntsville
Mcallen Surgical Specialty Center
Athens Eye Surgery Centerllc
Barnet Dulaney Perkins Eye Center PLLC
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Rate Benchmarking
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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 69730 vs. Other Surgical Procedures on the Auditory System Codes
The CPT 69730 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 69730 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 |
|---|---|---|
| 69714-CPT | High | Implantation Osseointegrated I, Implantation Osseointegrated Implant Temporal Bonew Percutaneous Attachment To External Speech Processorcochlear Stimulator Without Mastiodectomy |
| 69719-CPT | Moderate | Rplcm Oi Implt Sk Tc Esp 100, Replacement Including Removal Of Existing Device Osseointegrated Implant Skull With Magnetic Transcutaneous Attachment To External Speech Processor Within The Mastoid And Or Involving A Bony Defect Less Than 100 Sq Mm Surface Area Of Bone Deep To The Outer Cranial Cortex |
| 69729-CPT | Moderate | Impl Oi Implt Sk Tc Esp 100, Implantation Osseointegrated Implant Skull With Magnetic Transcutaneous Attachment To External Speech Processor Outside Of The Mastoid And Resulting In Removal Of Greater Than Or Equal To 100 Sq Mm Surface Area Of Bone Deep To The Outer Cranial Cortex |
| 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 69730. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 69730 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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