# CPT 69145: Excision of lesion, external auditory canal

Medicare CPT 69145 pays $404.82 in a non-facility setting and $237.15 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $355.64 in Arkansas to $465.14 in District of Columbia, a 31% spread.

Web page: https://www.med-reveal.com/rates/69145-cpt-fee-schedule
Section: Surgery and Procedures

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $404.82 |
| National facility | $237.15 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| District of Columbia | $465.14 | $267.62 |
| Alaska | $462.65 | $284.08 |
| California | $457.71 | $259.31 |
| New York | $448.80 | $261.75 |
| New Jersey | $448.72 | $259.92 |
| Washington | $447.39 | $256.25 |
| Massachusetts | $442.82 | $254.44 |
| Hawaii | $440.98 | $250.33 |
| Connecticut | $432.72 | $252.13 |
| Colorado | $422.47 | $244.07 |
| Maryland | $419.89 | $245.09 |
| Oregon | $418.18 | $241.54 |
| Florida | $418.17 | $249.93 |
| New Hampshire | $415.65 | $241.11 |
| Rhode Island | $415.11 | $241.91 |
| Puerto Rico | $407.97 | $238.45 |
| Virgin Islands | $407.97 | $238.45 |
| Illinois | $406.74 | $244.72 |
| Montana | $404.79 | $237.12 |
| Minnesota | $404.46 | $231.93 |
| Nevada | $402.95 | $235.11 |
| Wyoming | $401.43 | $233.76 |
| Delaware | $400.30 | $234.63 |
| Pennsylvania | $400.28 | $236.05 |
| Texas | $399.66 | $234.59 |
| North Dakota | $397.08 | $229.41 |
| South Dakota | $396.17 | $228.50 |
| Virginia | $395.82 | $231.00 |
| Vermont | $395.34 | $229.35 |
| Georgia | $393.53 | $233.57 |
| Arizona | $393.52 | $231.05 |
| Michigan | $391.59 | $234.14 |
| Maine | $386.43 | $226.22 |
| Utah | $385.25 | $227.64 |
| Wisconsin | $383.04 | $222.41 |
| New Mexico | $382.21 | $228.45 |
| South Carolina | $379.76 | $224.84 |
| North Carolina | $379.75 | $223.31 |
| Missouri | $379.59 | $225.72 |
| Louisiana | $378.99 | $225.91 |
| Ohio | $378.48 | $225.39 |
| Indiana | $375.94 | $220.50 |
| Idaho | $373.64 | $219.38 |
| Nebraska | $373.31 | $218.55 |
| Iowa | $371.13 | $217.71 |
| Tennessee | $371.13 | $218.71 |
| West Virginia | $370.62 | $224.91 |
| Kentucky | $369.97 | $220.91 |
| Oklahoma | $369.39 | $219.66 |
| Kansas | $369.18 | $217.60 |
| Alabama | $361.17 | $214.46 |
| Mississippi | $359.17 | $214.80 |
| Arkansas | $355.64 | $211.61 |

## 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 69145 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