# CPT 69433: Tympanostomy with insertion of ventilating tube, local/topical anesthesia

Medicare CPT 69433 pays $202.41 in a non-facility setting and $119.58 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $178.66 in Arkansas to $234.19 in Alaska, a 31% spread.

Web page: https://www.med-reveal.com/rates/69433-cpt-fee-schedule
Section: Surgery and Procedures
Billed by: Otolaryngology

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $202.41 |
| National facility | $119.58 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $234.19 | $145.97 |
| District of Columbia | $231.65 | $134.07 |
| California | $227.48 | $129.46 |
| New York | $224.03 | $131.62 |
| New Jersey | $223.80 | $130.53 |
| Washington | $222.74 | $128.31 |
| Massachusetts | $220.59 | $127.53 |
| Hawaii | $219.22 | $125.04 |
| Connecticut | $216.01 | $126.80 |
| Colorado | $210.72 | $122.59 |
| Maryland | $209.75 | $123.40 |
| Florida | $209.53 | $126.42 |
| Oregon | $208.60 | $121.34 |
| New Hampshire | $207.45 | $121.22 |
| Rhode Island | $207.38 | $121.82 |
| Illinois | $204.11 | $124.07 |
| Puerto Rico | $203.89 | $120.15 |
| Virgin Islands | $203.89 | $120.15 |
| Montana | $202.40 | $119.56 |
| Minnesota | $201.66 | $116.42 |
| Nevada | $201.38 | $118.47 |
| Wyoming | $200.59 | $117.75 |
| Pennsylvania | $200.40 | $119.26 |
| Delaware | $200.23 | $118.38 |
| Texas | $199.96 | $118.41 |
| North Dakota | $198.24 | $115.41 |
| Virginia | $197.89 | $116.47 |
| South Dakota | $197.75 | $114.92 |
| Vermont | $197.50 | $115.50 |
| Georgia | $197.23 | $118.20 |
| Arizona | $196.93 | $116.66 |
| Michigan | $196.46 | $118.69 |
| Maine | $193.37 | $114.22 |
| Utah | $193.04 | $115.17 |
| New Mexico | $191.84 | $115.88 |
| Wisconsin | $191.50 | $112.14 |
| Missouri | $190.42 | $114.40 |
| South Carolina | $190.39 | $113.85 |
| North Carolina | $190.21 | $112.93 |
| Louisiana | $190.19 | $114.56 |
| Ohio | $189.91 | $114.28 |
| Indiana | $188.27 | $111.48 |
| Idaho | $187.17 | $110.96 |
| Nebraska | $186.94 | $110.48 |
| West Virginia | $186.53 | $114.55 |
| Tennessee | $186.03 | $110.74 |
| Iowa | $185.92 | $110.12 |
| Kentucky | $185.80 | $112.16 |
| Oklahoma | $185.41 | $111.44 |
| Kansas | $185.08 | $110.20 |
| Alabama | $181.33 | $108.85 |
| Mississippi | $180.52 | $109.20 |
| Arkansas | $178.66 | $107.51 |

## 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 69433 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