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See a sample rate comparisonCPT 69905 Fee Schedule
Medicare rates as of October 2026
CPT 69905 is classified under Surgery, in the Surgical Procedures on the Auditory System subgroup.
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 | LT - Left side of body RT - Right side of body |
| Complexity Level | High |
| Medicare Fee Schedule | $818.66 national non-facility rate (2026) · View Medicare rates for 69905 |
| Medicaid Fee Schedule | $664.125 median of the 8 states in the free preview · View Medicaid rates for 69905 |
National average reimbursement for CPT 69905 by major payers:
$1,278.92
BCBS / Anthem
$1,182.90
UnitedHealthcare
$1,211.67
Aetna
$1,499.72
Cigna
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
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Payer Contract Negotiation
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See a sample payer proposalCPT 69905 vs. Other Surgical Procedures on the Auditory System Codes
The table lists codes related to 69905. 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 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.
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