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See a sample rate comparisonCPT 69806 Fee Schedule
Medicare rates as of October 2026
CPT 69806 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 | LT - Left side of body RT - Right side of body |
| Complexity Level | High |
| Medicare Fee Schedule | $815.65 national non-facility rate (2026) · View Medicare rates for 69806 |
| Medicaid Fee Schedule | $696.675 median of the 8 states in the free preview · View Medicaid rates for 69806 |
National average reimbursement for CPT 69806 by major payers:
$1,340.77
BCBS / Anthem
$1,215.20
UnitedHealthcare
$1,264.99
Aetna
$1,522.51
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 69806.
CPT 69806
5 of 25 sample ratesHigher to lower in this preview
Ku Medwest Ambulatory Surgery Center, LLC
Ku Medwest Ambulatory Surgery Center LLC
$5,787.00Published rateBaylor Surgicare At North Dallas, LLC, Baylor Scott & White Surgicare-North Dallas
$4,234.00Published rateCharleston Ent Associates, LLC, Surgery Center Of Charleston
Charleston Ent Associates, LLC
$2,800.00Published rateManatee Surgical Center, LLC
$1,550.00Published rateLong Island Center For Digestive Health LLC
Long Island Center For Digestive Health, LLC
$668.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 69806 vs. Other Surgical Procedures on the Auditory System Codes
The table lists codes related to 69806. 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 69806. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 69806 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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