# CPT 69450: Tympanolysis

Medicare CPT 69450 pays $497.01 in a non-facility setting and $497.01 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $443.76 in Arkansas to $596.04 in Alaska, a 34% spread.

Web page: https://www.med-reveal.com/rates/69450-cpt-fee-schedule
Section: Surgery and Procedures
Billed by: Otolaryngology

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $497.01 |
| National facility | $497.01 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $596.04 | $596.04 |
| District of Columbia | $560.73 | $560.73 |
| New York | $548.42 | $548.42 |
| New Jersey | $544.65 | $544.65 |
| California | $543.42 | $543.42 |
| Washington | $536.97 | $536.97 |
| Massachusetts | $533.20 | $533.20 |
| Connecticut | $528.31 | $528.31 |
| Hawaii | $524.60 | $524.60 |
| Florida | $523.57 | $523.57 |
| Maryland | $513.61 | $513.61 |
| Illinois | $512.69 | $512.69 |
| Colorado | $511.52 | $511.52 |
| Rhode Island | $507.00 | $507.00 |
| Oregon | $506.23 | $506.23 |
| New Hampshire | $505.29 | $505.29 |
| Puerto Rico | $499.73 | $499.73 |
| Virgin Islands | $499.73 | $499.73 |
| Montana | $496.95 | $496.95 |
| Pennsylvania | $494.71 | $494.71 |
| Nevada | $492.77 | $492.77 |
| Delaware | $491.78 | $491.78 |
| Texas | $491.69 | $491.69 |
| Michigan | $490.67 | $490.67 |
| Wyoming | $489.97 | $489.97 |
| Georgia | $489.51 | $489.51 |
| Minnesota | $486.21 | $486.21 |
| Arizona | $484.29 | $484.29 |
| Virginia | $484.21 | $484.21 |
| North Dakota | $480.93 | $480.93 |
| Vermont | $480.79 | $480.79 |
| South Dakota | $479.04 | $479.04 |
| New Mexico | $478.82 | $478.82 |
| Utah | $477.17 | $477.17 |
| Maine | $474.24 | $474.24 |
| Louisiana | $473.52 | $473.52 |
| Missouri | $473.15 | $473.15 |
| Ohio | $472.46 | $472.46 |
| West Virginia | $471.39 | $471.39 |
| South Carolina | $471.32 | $471.32 |
| North Carolina | $468.17 | $468.17 |
| Wisconsin | $466.33 | $466.33 |
| Kentucky | $463.12 | $463.12 |
| Indiana | $462.33 | $462.33 |
| Oklahoma | $460.52 | $460.52 |
| Idaho | $459.98 | $459.98 |
| Tennessee | $458.58 | $458.58 |
| Nebraska | $458.27 | $458.27 |
| Iowa | $456.50 | $456.50 |
| Kansas | $456.27 | $456.27 |
| Mississippi | $450.39 | $450.39 |
| Alabama | $449.69 | $449.69 |
| Arkansas | $443.76 | $443.76 |

## 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 69450 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