# CPT 69420: Myringotomy with aspiration/eustachian tube inflation

Medicare CPT 69420 pays $191.72 in a non-facility setting and $110.56 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $168.75 in Arkansas to $220.36 in Alaska, a 31% spread.

Web page: https://www.med-reveal.com/rates/69420-cpt-fee-schedule
Section: Surgery and Procedures
Billed by: Otolaryngology

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $191.72 |
| National facility | $110.56 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $220.36 | $133.92 |
| District of Columbia | $219.82 | $124.21 |
| California | $215.93 | $119.89 |
| New York | $212.44 | $121.89 |
| New Jersey | $212.23 | $120.84 |
| Washington | $211.33 | $118.80 |
| Massachusetts | $209.25 | $118.06 |
| Hawaii | $208.08 | $115.80 |
| Connecticut | $204.80 | $117.39 |
| Colorado | $199.76 | $113.40 |
| Maryland | $198.77 | $114.16 |
| Florida | $198.51 | $117.08 |
| Oregon | $197.73 | $112.22 |
| New Hampshire | $196.62 | $112.13 |
| Rhode Island | $196.47 | $112.63 |
| Illinois | $193.24 | $114.82 |
| Puerto Rico | $193.16 | $111.10 |
| Virgin Islands | $193.16 | $111.10 |
| Montana | $191.71 | $110.54 |
| Minnesota | $191.08 | $107.56 |
| Nevada | $190.75 | $109.50 |
| Wyoming | $189.98 | $108.82 |
| Pennsylvania | $189.72 | $110.22 |
| Delaware | $189.59 | $109.40 |
| Texas | $189.33 | $109.42 |
| North Dakota | $187.75 | $106.59 |
| Virginia | $187.38 | $107.59 |
| South Dakota | $187.29 | $106.12 |
| Vermont | $187.02 | $106.67 |
| Georgia | $186.67 | $109.24 |
| Arizona | $186.42 | $107.77 |
| Michigan | $185.91 | $109.69 |
| Maine | $183.00 | $105.45 |
| Utah | $182.64 | $106.35 |
| New Mexico | $181.45 | $107.02 |
| Wisconsin | $181.22 | $103.47 |
| Missouri | $180.09 | $105.61 |
| South Carolina | $180.08 | $105.09 |
| North Carolina | $179.93 | $104.21 |
| Louisiana | $179.86 | $105.76 |
| Ohio | $179.60 | $105.50 |
| Indiana | $178.07 | $102.83 |
| Idaho | $177.00 | $102.33 |
| Nebraska | $176.79 | $101.88 |
| West Virginia | $176.27 | $105.74 |
| Tennessee | $175.89 | $102.11 |
| Iowa | $175.80 | $101.53 |
| Kentucky | $175.62 | $103.46 |
| Oklahoma | $175.26 | $102.78 |
| Kansas | $174.97 | $101.60 |
| Alabama | $171.33 | $100.31 |
| Mississippi | $170.52 | $100.64 |
| Arkansas | $168.75 | $99.03 |

## 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 69420 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