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 comparisonCPT 69905 Fee Schedule
Last Verified: September 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.
Labyrinthectomy Transcanal
| 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 LT - Left side of body RT - Right side of body |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 69905 |
| Medicaid Fee Schedule | View Medicaid rates for 69905 |
National average reimbursement for CPT 69905 by major payers:
$1,278.92
$1,182.90
$1,211.67
$1,499.72
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 69905.
CPT 69905
5 of 25 sample ratesHigher to lower in this preview
Novant Health Clemmons Outpatient Surgery, LLC
Novant Health Clemmons Outpatient Surgery LLC
$8,076.00Published rateAdvanced Surgery Center Of Metairie LLC
Advanced Surgery Center Of Metairie
$5,354.00Published rateEndotech, LLC
Endotech LLC
$2,500.00Published rateSt Johns Surgery Center LLC
$1,814.00Published rateMidsouth Interventional Pain Institute, LLC
Midsouth Interventional Pain Institute LLC
$1,296.00Published rate
Get a free rate benchmark for your specialty.
Choose your state and specialty to build a report from payer-published rates.
Use market rates to prepare your payer proposal.
Payer Contract Negotiation
Draft a fee schedule renegotiation letter.
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalCPT 69905 vs. Other Surgical Procedures on the Auditory System Codes
The CPT 69905 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 69905 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 |
|---|---|---|
| 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 69905. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 69905 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.
FREE SAMPLE MARKET COMPARISON
Let's review your payer contracts side-by-side with the market.
Bring your top codes (like CPT 69905) and we'll show you how you compare in 15 minutes or less.