# CPT 69436: Tympanostomy with insertion of ventilating tube, general anesthesia

Medicare CPT 69436 pays $144.63 in a non-facility setting and $144.63 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $130.25 in Arkansas to $177.70 in Alaska, a 36% spread.

Web page: https://www.med-reveal.com/rates/69436-cpt-fee-schedule
Section: Surgery and Procedures
Billed by: Otolaryngology, Pediatrics

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $144.63 |
| National facility | $144.63 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $177.70 | $177.70 |
| District of Columbia | $161.64 | $161.64 |
| New York | $159.16 | $159.16 |
| New Jersey | $157.57 | $157.57 |
| California | $155.49 | $155.49 |
| Washington | $154.49 | $154.49 |
| Florida | $153.71 | $153.71 |
| Massachusetts | $153.64 | $153.64 |
| Connecticut | $153.27 | $153.27 |
| Illinois | $151.02 | $151.02 |
| Hawaii | $150.25 | $150.25 |
| Maryland | $149.17 | $149.17 |
| Colorado | $147.83 | $147.83 |
| Rhode Island | $147.16 | $147.16 |
| New Hampshire | $146.32 | $146.32 |
| Oregon | $146.30 | $146.30 |
| Puerto Rico | $145.25 | $145.25 |
| Virgin Islands | $145.25 | $145.25 |
| Montana | $144.61 | $144.61 |
| Pennsylvania | $144.43 | $144.43 |
| Michigan | $144.18 | $144.18 |
| Georgia | $143.35 | $143.35 |
| Texas | $143.24 | $143.24 |
| Delaware | $143.17 | $143.17 |
| Nevada | $143.13 | $143.13 |
| Wyoming | $142.19 | $142.19 |
| Arizona | $141.12 | $141.12 |
| New Mexico | $140.71 | $140.71 |
| Virginia | $140.69 | $140.69 |
| Minnesota | $140.07 | $140.07 |
| West Virginia | $139.51 | $139.51 |
| Utah | $139.48 | $139.48 |
| Vermont | $139.31 | $139.31 |
| North Dakota | $139.07 | $139.07 |
| Louisiana | $139.00 | $139.00 |
| Missouri | $138.73 | $138.73 |
| Ohio | $138.63 | $138.63 |
| South Dakota | $138.42 | $138.42 |
| Maine | $138.03 | $138.03 |
| South Carolina | $137.92 | $137.92 |
| North Carolina | $136.57 | $136.57 |
| Kentucky | $136.08 | $136.08 |
| Wisconsin | $135.22 | $135.22 |
| Oklahoma | $135.07 | $135.07 |
| Indiana | $134.72 | $134.72 |
| Idaho | $134.11 | $134.11 |
| Tennessee | $133.94 | $133.94 |
| Nebraska | $133.43 | $133.43 |
| Kansas | $133.29 | $133.29 |
| Iowa | $133.05 | $133.05 |
| Mississippi | $132.48 | $132.48 |
| Alabama | $131.84 | $131.84 |
| Arkansas | $130.25 | $130.25 |

## 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 69436 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