# CPT 69421: Myringotomy under general anesthesia

Medicare CPT 69421 pays $137.95 in a non-facility setting and $137.95 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $123.82 in Arkansas to $167.90 in Alaska, a 36% spread.

Web page: https://www.med-reveal.com/rates/69421-cpt-fee-schedule
Section: Surgery and Procedures
Billed by: Otolaryngology

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $137.95 |
| National facility | $137.95 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $167.90 | $167.90 |
| District of Columbia | $154.75 | $154.75 |
| New York | $151.97 | $151.97 |
| New Jersey | $150.64 | $150.64 |
| California | $149.31 | $149.31 |
| Washington | $148.02 | $148.02 |
| Massachusetts | $147.13 | $147.13 |
| Connecticut | $146.37 | $146.37 |
| Florida | $146.09 | $146.09 |
| Hawaii | $144.22 | $144.22 |
| Illinois | $143.34 | $143.34 |
| Maryland | $142.39 | $142.39 |
| Colorado | $141.39 | $141.39 |
| Rhode Island | $140.51 | $140.51 |
| Oregon | $139.93 | $139.93 |
| New Hampshire | $139.83 | $139.83 |
| Puerto Rico | $138.61 | $138.61 |
| Virgin Islands | $138.61 | $138.61 |
| Montana | $137.93 | $137.93 |
| Pennsylvania | $137.58 | $137.58 |
| Michigan | $136.99 | $136.99 |
| Nevada | $136.62 | $136.62 |
| Texas | $136.56 | $136.56 |
| Delaware | $136.54 | $136.54 |
| Georgia | $136.39 | $136.39 |
| Wyoming | $135.77 | $135.77 |
| Arizona | $134.53 | $134.53 |
| Virginia | $134.28 | $134.28 |
| Minnesota | $134.14 | $134.14 |
| New Mexico | $133.69 | $133.69 |
| Vermont | $133.11 | $133.11 |
| North Dakota | $132.99 | $132.99 |
| Utah | $132.81 | $132.81 |
| South Dakota | $132.40 | $132.40 |
| West Virginia | $132.18 | $132.18 |
| Louisiana | $132.12 | $132.12 |
| Missouri | $131.93 | $131.93 |
| Ohio | $131.79 | $131.79 |
| Maine | $131.64 | $131.64 |
| South Carolina | $131.26 | $131.26 |
| North Carolina | $130.14 | $130.14 |
| Kentucky | $129.30 | $129.30 |
| Wisconsin | $129.17 | $129.17 |
| Indiana | $128.44 | $128.44 |
| Oklahoma | $128.44 | $128.44 |
| Idaho | $127.83 | $127.83 |
| Tennessee | $127.58 | $127.58 |
| Nebraska | $127.25 | $127.25 |
| Kansas | $126.94 | $126.94 |
| Iowa | $126.83 | $126.83 |
| Mississippi | $125.83 | $125.83 |
| Alabama | $125.39 | $125.39 |
| Arkansas | $123.82 | $123.82 |

## 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 69421 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