# CPT 69511: Mastoidectomy, radical

Medicare CPT 69511 pays $1,152.67 in a non-facility setting and $1,152.67 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $1,030.65 in Arkansas to $1,388.22 in Alaska, a 35% spread.

Web page: https://www.med-reveal.com/rates/69511-cpt-fee-schedule
Section: Surgery and Procedures

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $1,152.67 |
| National facility | $1,152.67 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $1,388.22 | $1,388.22 |
| District of Columbia | $1,298.27 | $1,298.27 |
| New York | $1,271.37 | $1,271.37 |
| New Jersey | $1,261.82 | $1,261.82 |
| California | $1,256.38 | $1,256.38 |
| Washington | $1,242.76 | $1,242.76 |
| Massachusetts | $1,234.39 | $1,234.39 |
| Connecticut | $1,224.65 | $1,224.65 |
| Florida | $1,216.46 | $1,216.46 |
| Hawaii | $1,213.10 | $1,213.10 |
| Illinois | $1,191.92 | $1,191.92 |
| Maryland | $1,190.77 | $1,190.77 |
| Colorado | $1,184.80 | $1,184.80 |
| Rhode Island | $1,175.27 | $1,175.27 |
| Oregon | $1,172.54 | $1,172.54 |
| New Hampshire | $1,170.82 | $1,170.82 |
| Puerto Rico | $1,158.74 | $1,158.74 |
| Virgin Islands | $1,158.74 | $1,158.74 |
| Montana | $1,152.53 | $1,152.53 |
| Pennsylvania | $1,148.03 | $1,148.03 |
| Nevada | $1,142.43 | $1,142.43 |
| Delaware | $1,140.62 | $1,140.62 |
| Texas | $1,140.55 | $1,140.55 |
| Michigan | $1,140.09 | $1,140.09 |
| Georgia | $1,136.64 | $1,136.64 |
| Wyoming | $1,135.73 | $1,135.73 |
| Minnesota | $1,125.41 | $1,125.41 |
| Arizona | $1,123.41 | $1,123.41 |
| Virginia | $1,122.61 | $1,122.61 |
| Vermont | $1,114.08 | $1,114.08 |
| North Dakota | $1,113.98 | $1,113.98 |
| New Mexico | $1,112.53 | $1,112.53 |
| South Dakota | $1,109.42 | $1,109.42 |
| Utah | $1,107.54 | $1,107.54 |
| Louisiana | $1,099.94 | $1,099.94 |
| Maine | $1,099.80 | $1,099.80 |
| Missouri | $1,098.84 | $1,098.84 |
| Ohio | $1,097.39 | $1,097.39 |
| West Virginia | $1,096.73 | $1,096.73 |
| South Carolina | $1,094.16 | $1,094.16 |
| North Carolina | $1,086.19 | $1,086.19 |
| Wisconsin | $1,080.66 | $1,080.66 |
| Kentucky | $1,075.94 | $1,075.94 |
| Indiana | $1,072.37 | $1,072.37 |
| Oklahoma | $1,069.52 | $1,069.52 |
| Idaho | $1,067.04 | $1,067.04 |
| Tennessee | $1,064.15 | $1,064.15 |
| Nebraska | $1,062.77 | $1,062.77 |
| Iowa | $1,058.88 | $1,058.88 |
| Kansas | $1,058.80 | $1,058.80 |
| Mississippi | $1,046.53 | $1,046.53 |
| Alabama | $1,044.24 | $1,044.24 |
| Arkansas | $1,030.65 | $1,030.65 |

## 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 69511 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
