# CPT 69440: Middle ear exploration

Medicare CPT 69440 pays $624.26 in a non-facility setting and $624.26 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $558.90 in Arkansas to $755.04 in Alaska, a 35% spread.

Web page: https://www.med-reveal.com/rates/69440-cpt-fee-schedule
Section: Surgery and Procedures
Billed by: Otolaryngology

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $624.26 |
| National facility | $624.26 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $755.04 | $755.04 |
| District of Columbia | $701.83 | $701.83 |
| New York | $688.34 | $688.34 |
| New Jersey | $682.60 | $682.60 |
| California | $677.88 | $677.88 |
| Washington | $671.40 | $671.40 |
| Massachusetts | $667.12 | $667.12 |
| Connecticut | $662.95 | $662.95 |
| Florida | $660.48 | $660.48 |
| Hawaii | $654.69 | $654.69 |
| Illinois | $647.58 | $647.58 |
| Maryland | $644.68 | $644.68 |
| Colorado | $640.66 | $640.66 |
| Rhode Island | $636.12 | $636.12 |
| Oregon | $634.00 | $634.00 |
| New Hampshire | $633.40 | $633.40 |
| Puerto Rico | $627.40 | $627.40 |
| Virgin Islands | $627.40 | $627.40 |
| Montana | $624.19 | $624.19 |
| Pennsylvania | $622.19 | $622.19 |
| Michigan | $618.88 | $618.88 |
| Nevada | $618.41 | $618.41 |
| Texas | $617.80 | $617.80 |
| Delaware | $617.74 | $617.74 |
| Georgia | $616.47 | $616.47 |
| Wyoming | $614.62 | $614.62 |
| Arizona | $608.51 | $608.51 |
| Minnesota | $607.91 | $607.91 |
| Virginia | $607.65 | $607.65 |
| New Mexico | $603.83 | $603.83 |
| Vermont | $602.59 | $602.59 |
| North Dakota | $602.24 | $602.24 |
| Utah | $600.32 | $600.32 |
| South Dakota | $599.65 | $599.65 |
| Louisiana | $596.77 | $596.77 |
| West Virginia | $596.22 | $596.22 |
| Missouri | $596.02 | $596.02 |
| Maine | $595.46 | $595.46 |
| Ohio | $595.33 | $595.33 |
| South Carolina | $593.16 | $593.16 |
| North Carolina | $588.37 | $588.37 |
| Wisconsin | $584.49 | $584.49 |
| Kentucky | $583.81 | $583.81 |
| Indiana | $580.68 | $580.68 |
| Oklahoma | $580.04 | $580.04 |
| Idaho | $577.84 | $577.84 |
| Tennessee | $576.52 | $576.52 |
| Nebraska | $575.33 | $575.33 |
| Kansas | $573.62 | $573.62 |
| Iowa | $573.35 | $573.35 |
| Mississippi | $567.88 | $567.88 |
| Alabama | $566.17 | $566.17 |
| Arkansas | $558.90 | $558.90 |

## 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 69440 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