# CPT 69100: Biopsy, external ear

Medicare CPT 69100 pays $92.52 in a non-facility setting and $37.41 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $82.39 in Arkansas to $108.81 in Alaska, a 32% spread.

Web page: https://www.med-reveal.com/rates/69100-cpt-fee-schedule
Section: Surgery and Procedures

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $92.52 |
| National facility | $37.41 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $108.81 | $50.12 |
| District of Columbia | $105.57 | $40.64 |
| California | $104.09 | $38.88 |
| New Jersey | $102.11 | $40.06 |
| New York | $101.99 | $40.50 |
| Washington | $101.79 | $38.96 |
| Massachusetts | $100.79 | $38.87 |
| Hawaii | $100.28 | $37.61 |
| Connecticut | $98.45 | $39.10 |
| Colorado | $96.41 | $37.77 |
| Maryland | $95.76 | $38.31 |
| Oregon | $95.50 | $37.44 |
| Florida | $94.95 | $39.65 |
| Rhode Island | $94.87 | $37.94 |
| New Hampshire | $94.84 | $37.47 |
| Puerto Rico | $93.19 | $37.47 |
| Virgin Islands | $93.19 | $37.47 |
| Minnesota | $92.72 | $36.01 |
| Illinois | $92.59 | $39.34 |
| Montana | $92.52 | $37.40 |
| Nevada | $92.19 | $37.03 |
| Wyoming | $91.91 | $36.80 |
| Delaware | $91.65 | $37.20 |
| Pennsylvania | $91.61 | $37.63 |
| Texas | $91.51 | $37.25 |
| North Dakota | $91.13 | $36.02 |
| South Dakota | $90.97 | $35.86 |
| Virginia | $90.75 | $36.57 |
| Vermont | $90.73 | $36.17 |
| Arizona | $90.21 | $36.80 |
| Georgia | $90.09 | $37.51 |
| Michigan | $89.58 | $37.84 |
| Maine | $88.81 | $36.15 |
| Utah | $88.45 | $36.65 |
| Wisconsin | $88.22 | $35.43 |
| New Mexico | $87.70 | $37.16 |
| North Carolina | $87.40 | $35.98 |
| South Carolina | $87.32 | $36.40 |
| Missouri | $87.23 | $36.66 |
| Louisiana | $87.08 | $36.76 |
| Ohio | $86.99 | $36.67 |
| Indiana | $86.66 | $35.57 |
| Idaho | $86.18 | $35.48 |
| Nebraska | $86.15 | $35.29 |
| Iowa | $85.69 | $35.26 |
| Tennessee | $85.63 | $35.54 |
| Kansas | $85.24 | $35.42 |
| Kentucky | $85.24 | $36.25 |
| Oklahoma | $85.17 | $35.96 |
| West Virginia | $85.17 | $37.28 |
| Alabama | $83.53 | $35.31 |
| Mississippi | $83.04 | $35.59 |
| Arkansas | $82.39 | $35.05 |

## Related codes

- 31535: Laryngoscopy, direct, with biopsy — https://www.med-reveal.com/rates/31535-cpt-fee-schedule
- 31570: Laryngoscopy with injection into vocal cord(s) — https://www.med-reveal.com/rates/31570-cpt-fee-schedule
- 31575: Laryngoscopy, flexible, diagnostic — https://www.med-reveal.com/rates/31575-cpt-fee-schedule
- 31578: Laryngoscopy with removal of foreign body — https://www.med-reveal.com/rates/31578-cpt-fee-schedule
- 31590: Laryngeal reinnervation — https://www.med-reveal.com/rates/31590-cpt-fee-schedule
- 42410: Excision of parotid tumor or parotid gland, lateral lobe, without nerve dissection — https://www.med-reveal.com/rates/42410-cpt-fee-schedule
- 42420: Excision of parotid gland, total, with dissection of facial nerve — https://www.med-reveal.com/rates/42420-cpt-fee-schedule
- 42440: Excision of submandibular gland — https://www.med-reveal.com/rates/42440-cpt-fee-schedule

Commercial negotiated rates for 69100 by payer and state: https://www.med-reveal.com/solutions/rate-benchmarking

## Sources

- CMS Medicare fee schedules (2026 Q4): https://www.cms.gov/medicare/payment/fee-schedules
