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See a sample rate comparisonCPT 69805 Fee Schedule
Medicare rates as of October 2026
CPT 69805 is classified under Surgery, in the Surgical Procedures on the Auditory System subgroup.
Relieve Pressure On Inner Ear, Surgery To Reduce Pressure Inside The Ear Associated With Menieres Syndrome. The Procedure Treats Dizziness Hearing Loss And Ringing In The Ears.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Auditory System |
| Common Place of Service | 22 - On Campus Outpatient Hospital 24 - Ambulatory Surgical Center |
| Common Modifiers | RT - Right side of body LT - Left side of body |
| Complexity Level | High |
| Medicare Fee Schedule | $906.83 national non-facility rate (2026) · View Medicare rates for 69805 |
| Medicaid Fee Schedule | $732.97 median of the 8 states in the free preview · View Medicaid rates for 69805 |
National average reimbursement for CPT 69805 by major payers:
$1,426.36
BCBS / Anthem
$1,351.69
UnitedHealthcare
$1,392.72
Aetna
$1,690.10
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 69805.
CPT 69805
5 of 25 sample ratesHigher to lower in this preview
Aloe Surgical Center Scottsdale, LLC
Aloe Surgical Center Scottsdale LLC
$6,506.00Published rateSouth Broward Endoscopy L L C
$4,574.00Published rateTri-City Orthopaedic Clinic P S C, The Surgery Center At Tco (Kennewick)
Tri-City Orthopaedic Clinic, Psc
$3,550.00Published rateAllied Physicians Surgery Center, LLC
Allied Physicians Surgery Center LLC
$2,205.00Published rateCortez Foot Surgery Center, P.A.
Cortez Foot Surgery Center PA
$876.00Published rate
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See a sample payer proposalCPT 69805 vs. Other Surgical Procedures on the Auditory System Codes
The table lists codes related to 69805. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 69805-CPT | High | Relieve Pressure On Inner Ear, Surgery To Reduce Pressure Inside The Ear Associated With Menieres Syndrome. The Procedure Treats Dizziness Hearing Loss And Ringing In The Ears. |
| 69806-CPT | High | Relieve Pressure On Inner Ear, Surgery To Reduce Pressure Inside The Ear Associated With Menieres Syndrome. The Procedure Treats Dizziness Hearing Loss And Ringing In The Ears. |
| 69905-CPT | High | Labyrinthectomy Transcanal |
| 69910-CPT | High | Labyrinthectomy; With Mastoidectomy |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 69805. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 69805 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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