CPT code 69705: Eustachian tube dilation, unilateral endoscopic dilation2026 Medicare rate & RVUs in North Dakota
Endoscopic surgical dilation of one eustachian tube, typically performed by an otolaryngologist to treat obstructive eustachian tube dysfunction.
In North Dakota, Medicare pays $2,561.33 for 69705 in the office and $139.77 when it’s performed in a hospital or facility.
Check a contract rate as a % of Medicare · 69705 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
What 69705 covers
An otolaryngologist uses a nasal endoscope to visualize the opening of one eustachian tube in the nasopharynx and guide a dilation device into the tube. The procedure is performed for obstructive eustachian tube dysfunction, often in patients with persistent ear pressure, difficulty equalizing pressure, or related middle-ear symptoms. It may be performed in an operating room or an appropriately equipped outpatient setting.
Report 69705 for one treated side. When both tubes are dilated in the same session, use the bilateral code 69706 rather than modifier 50. The operative note should identify the side, describe endoscopic guidance and dilation, and support the clinical reason for treatment. The procedure has a 0-day global period, so same-day preoperative and postoperative care is included. When related endoscopies are performed together, CMS applies endoscopy-family pricing. Assistant-at-surgery payment requires documentation of medical necessity; co-surgeon and team-surgery payment are not permitted.
This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.
How North Dakota compares for 69705
Across 109 of 109 payment localities, the office rate for 69705 runs from $2,216.37 in Arkansas to $3,660.24 in San Benito County, CA. North Dakota pays $2,561.33. The RVUs are the same everywhere; the geographic indexes change the dollars.
- North Dakota · this page$2,561.33
- Los Angeles, CA · California$3,018.80+$457.47
- Washington, DC area · District of Columbia$3,014.23+$452.90
- Miami, FL · Florida$2,692.59+$131.26
- Chicago, IL · Illinois$2,601.44+$40.11
- Manhattan, NY · New York$2,982.68+$421.35
- Alaska · Alaska$2,772.10+$210.77
Other areas in North Dakota first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $2,256.43 | $137.56 |
| ArkansasArkansas | $2,216.37 | $136.25 |
| ArizonaArizona | $2,491.61 | $145.11 |
| Bakersfield, CACalifornia | $2,802.04 | $148.01 |
| Chico, CACalifornia | $2,800.80 | $146.76 |
| El Centro, CACalifornia | $2,800.87 | $146.83 |
| Fresno, CACalifornia | $2,800.80 | $146.76 |
| Hanford, CACalifornia | $2,800.80 | $146.76 |
| Madera, CACalifornia | $2,800.80 | $146.76 |
| Merced, CACalifornia | $2,800.80 | $146.76 |
| Modesto, CACalifornia | $2,800.80 | $146.76 |
| Napa, CACalifornia | $3,350.49 | $158.87 |
| Oxnard, CACalifornia | $3,014.48 | $152.19 |
| Redding, CACalifornia | $2,800.80 | $146.76 |
| Rest of CaliforniaCalifornia | $2,800.80 | $146.76 |
| Riverside, CACalifornia | $2,805.45 | $151.41 |
| Sacramento, CACalifornia | $2,967.32 | $151.04 |
| Salinas, CACalifornia | $2,957.00 | $150.41 |
| San Diego, CACalifornia | $3,047.92 | $151.73 |
| Marin County, CACalifornia | $3,579.02 | $164.62 |
| San Francisco, CACalifornia | $3,578.54 | $164.13 |
| San Benito County, CACalifornia | $3,660.24 | $168.35 |
| Santa Clara County, CACalifornia | $3,658.25 | $166.35 |
| San Luis Obispo, CACalifornia | $2,906.48 | $148.31 |
| Santa Cruz, CACalifornia | $3,093.65 | $151.45 |
| Santa Maria, CACalifornia | $2,973.91 | $150.36 |
| Santa Rosa, CACalifornia | $3,126.48 | $152.80 |
| Stockton, CACalifornia | $2,800.80 | $146.76 |
| Vallejo, CACalifornia | $3,349.79 | $158.17 |
| Visalia, CACalifornia | $2,800.80 | $146.76 |
| Yuba City, CACalifornia | $2,800.80 | $146.76 |
| ColoradoColorado | $2,725.18 | $148.64 |
| ConnecticutConnecticut | $2,764.08 | $156.05 |
| DelawareDelaware | $2,539.41 | $146.91 |
| Fort Lauderdale, FLFlorida | $2,613.42 | $160.37 |
| Rest of FloridaFlorida | $2,468.95 | $153.94 |
| Atlanta, GAGeorgia | $2,612.37 | $152.06 |
| Rest of GeorgiaGeorgia | $2,307.20 | $147.16 |
| Hawaii, Guam, HIHawaii | $2,900.52 | $147.20 |
| IowaIowa | $2,352.31 | $136.57 |
| IdahoIdaho | $2,365.69 | $137.85 |
| East St. Louis, ILIllinois | $2,387.82 | $159.98 |
| Rest of IllinoisIllinois | $2,364.14 | $153.25 |
| Suburban Chicago, ILIllinois | $2,647.99 | $161.05 |
| IndianaIndiana | $2,383.08 | $138.28 |
| KansasKansas | $2,326.81 | $137.71 |
| KentuckyKentucky | $2,295.85 | $143.08 |
| New Orleans, LALouisiana | $2,426.82 | $148.12 |
| Rest of LouisianaLouisiana | $2,286.63 | $143.55 |
| Metropolitan Boston, MAMassachusetts | $3,049.08 | $157.73 |
| Rest of MassachusettsMassachusetts | $2,698.77 | $148.86 |
| Baltimore area, MDMaryland | $2,754.24 | $155.90 |
| Rest of MarylandMaryland | $2,599.16 | $148.53 |
| Rest of MaineMaine | $2,367.83 | $139.99 |
| Southern Maine, MEMaine | $2,542.45 | $142.68 |
| Detroit, MIMichigan | $2,493.70 | $156.89 |
| Rest of MichiganMichigan | $2,357.90 | $147.01 |
| MinnesotaMinnesota | $2,631.03 | $139.23 |
| Metropolitan Kansas City, MOMissouri | $2,419.62 | $145.77 |
| Metropolitan St. Louis, MOMissouri | $2,451.93 | $146.60 |
| Rest of MissouriMissouri | $2,230.34 | $142.95 |
| MississippiMississippi | $2,224.50 | $139.54 |
| MontanaMontana | $2,569.84 | $148.27 |
| North CarolinaNorth Carolina | $2,400.02 | $140.70 |
| NebraskaNebraska | $2,371.69 | $136.59 |
| New HampshireNew Hampshire | $2,668.83 | $147.98 |
| Northern New JerseyNew Jersey | $2,970.23 | $161.21 |
| Rest of New JerseyNew Jersey | $2,801.28 | $156.93 |
| New MexicoNew Mexico | $2,368.77 | $148.19 |
| NevadaNevada | $2,569.92 | $145.94 |
| NYC suburbs and Long Island, NYNew York | $3,052.93 | $173.69 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $2,810.76 | $159.15 |
| Queens, NYNew York | $3,029.77 | $167.48 |
| Rest of New YorkNew York | $2,442.72 | $142.23 |
| OhioOhio | $2,356.17 | $145.28 |
| OklahomaOklahoma | $2,303.70 | $141.24 |
| Portland, OROregon | $2,840.55 | $150.19 |
| Rest of OregonOregon | $2,555.77 | $143.89 |
| Metropolitan Philadelphia, PAPennsylvania | $2,675.16 | $154.31 |
| Rest of PennsylvaniaPennsylvania | $2,367.55 | $144.55 |
| Puerto RicoPuerto Rico | $2,596.68 | $148.48 |
| Rhode IslandRhode Island | $2,651.28 | $149.80 |
| South CarolinaSouth Carolina | $2,380.93 | $143.40 |
| South DakotaSouth Dakota | $2,560.33 | $138.76 |
| TennesseeTennessee | $2,339.57 | $138.37 |
| Austin, TXTexas | $2,710.97 | $148.95 |
| Beaumont, TXTexas | $2,347.66 | $144.03 |
| Brazoria, TXTexas | $2,545.37 | $145.60 |
| Dallas, TXTexas | $2,558.88 | $147.00 |
| Fort Worth, TXTexas | $2,534.49 | $146.82 |
| Galveston, TXTexas | $2,550.97 | $146.36 |
| Houston, TXTexas | $2,558.84 | $154.23 |
| Rest of TexasTexas | $2,443.13 | $145.07 |
| UtahUtah | $2,420.94 | $144.67 |
| VirginiaVirginia | $2,523.86 | $143.46 |
| Virgin Islands, VIUnited States Virgin Islands | $2,596.68 | $148.48 |
| VermontVermont | $2,538.19 | $140.84 |
| Rest of WashingtonWashington | $2,697.96 | $148.05 |
| King County, WAWashington | $3,130.01 | $158.75 |
| WisconsinWisconsin | $2,456.71 | $136.85 |
| West VirginiaWest Virginia | $2,254.10 | $149.76 |
| WyomingWyoming | $2,566.13 | $144.57 |
69705 rates by state
Office rate range in each state. Select a state to see its payment localities.
Explore a state
Local rates. Clear comparisons.
Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.
$2,216.37
$3,230.52
Color shows the midpoint of each state’s locality range.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $2,772.10 | 1 |
| AL | $2,256.43 | 1 |
| AR | $2,216.37 | 1 |
| AZ | $2,491.61 | 1 |
| CA | $2,800.80–$3,660.24 | 29 |
| CO | $2,725.18 | 1 |
| CT | $2,764.08 | 1 |
| DC | $3,014.23 | 1 |
| DE | $2,539.41 | 1 |
| FL | $2,468.95–$2,692.59 | 3 |
| GA | $2,307.20–$2,612.37 | 2 |
| GU | $2,900.52 | 1 |
| HI | $2,900.52 | 1 |
| IA | $2,352.31 | 1 |
| ID | $2,365.69 | 1 |
| IL | $2,364.14–$2,647.99 | 4 |
| IN | $2,383.08 | 1 |
| KS | $2,326.81 | 1 |
| KY | $2,295.85 | 1 |
| LA | $2,286.63–$2,426.82 | 2 |
| MA | $2,698.77–$3,049.08 | 2 |
| MD | $2,599.16–$3,014.23 | 3 |
| ME | $2,367.83–$2,542.45 | 2 |
| MI | $2,357.90–$2,493.70 | 2 |
| MN | $2,631.03 | 1 |
| MO | $2,230.34–$2,451.93 | 3 |
| MS | $2,224.50 | 1 |
| MT | $2,569.84 | 1 |
| NC | $2,400.02 | 1 |
| ND | $2,561.33 | 1 |
| NE | $2,371.69 | 1 |
| NH | $2,668.83 | 1 |
| NJ | $2,801.28–$2,970.23 | 2 |
| NM | $2,368.77 | 1 |
| NV | $2,569.92 | 1 |
| NY | $2,442.72–$3,052.93 | 5 |
| OH | $2,356.17 | 1 |
| OK | $2,303.70 | 1 |
| OR | $2,555.77–$2,840.55 | 2 |
| PA | $2,367.55–$2,675.16 | 2 |
| PR | $2,596.68 | 1 |
| RI | $2,651.28 | 1 |
| SC | $2,380.93 | 1 |
| SD | $2,560.33 | 1 |
| TN | $2,339.57 | 1 |
| TX | $2,347.66–$2,710.97 | 8 |
| UT | $2,420.94 | 1 |
| VA | $2,523.86–$3,014.23 | 2 |
| VI | $2,596.68 | 1 |
| VT | $2,538.19 | 1 |
| WA | $2,697.96–$3,130.01 | 2 |
| WI | $2,456.71 | 1 |
| WV | $2,254.10 | 1 |
| WY | $2,566.13 | 1 |
How the 69705 rate is calculated
Each of 69705’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 69705
RVUs × geographic indexes × conversion factor
Work2.93
2.93 RVUs× 1.000 GPCI
Practice expense73.58
73.58 RVUs× 1.000 GPCI
Malpractice0.43
0.43 RVUs× 1.000 GPCI
Adjusted RVUs
76.9400
Conversion factor
$33.4009
Medicare rate
$2,569.87
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact North Dakota inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
7,646
- Code
- 69705
- Physician work
- 2.93
- Practice expense
- 73.58
- Malpractice
- 0.43
GPCI2026.csv
84
- Locality
- North Dakota
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.406
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 2.93 | × 1.000 | 2.9300 |
| Practice expense | 73.58 | × 1.000 | 73.5800 |
| Malpractice | 0.43 | × 0.406 | 0.1746 |
| Total RVUs | 76.6846 | ||
| Conversion factor | × 33.4009 | ||
Office rate, North Dakota$2561.33
Office: (2.93 × 1 + 73.58 × 1 + 0.43 × 0.406) × $33.4009 = $2561.33
Facility: (2.93 × 1 + 1.08 × 1 + 0.43 × 0.406) × $33.4009 = $139.77
Payment rules and modifiers for 69705
The CMS indicators that decide how 69705 is paid alongside other services.
CMS payment indicators · 69705
Eustachian tube dilation, unilateral endoscopic dilation
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 000 | Same-day global: pre- and post-op care on the day of the procedure is included. |
| Multiple procedures | 3 | Endoscopy family rules apply. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
69705 without 51 · national office
$2,569.87
Eustachian tube dilation, unilateral endoscopic dilation
69705-51 · Second procedure: 50%
$1,284.94
When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).
How 69705 has changed in North Dakota
69705 · Office / nonfacility
$2561.33
Effective 2026-10-01
The base rate is $90.14 higher than on 2025-10-01, moving from $2471.19 to $2561.33 (3.6%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.
What changed, release by release
January 1, 2026
RVU26A
$2471.19changed to$2561.33
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 3.00 changed to 2.93
- Practice expense RVU 73.17 changed to 73.58
- Malpractice RVU 0.44 changed to 0.43
- Malpractice GPCI 0.517 changed to 0.406
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$2674.39changed to$2471.19
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 77.12 changed to 73.17
- Malpractice RVU 0.43 changed to 0.44
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$2630.74changed to$2674.39
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$2810.39changed to$2630.74
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 79.73 changed to 77.12
- Malpractice GPCI 0.474 changed to 0.517
January 1, 2023
RVU23A
$2933.60changed to$2810.39
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 81.59 changed to 79.73
- Malpractice RVU 0.42 changed to 0.43
- Malpractice GPCI 0.431 changed to 0.474
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$3103.93changed to$2933.60
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 85.77 changed to 81.59
- Malpractice RVU 0.43 changed to 0.42
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
No ratechanged to$3103.93
Held through RVU21B, RVU21C, RVU21D.
January 1, 2013
RVU13AR
Earliest loaded release: No rate
Held through RVU13B, RVU13C, RVU13D, RVU14A, RVU14B, RVU14C, RVU14D, RVU15A, RVU15B, RVU15C, RVU15D, RVU16A, RVU16B, RVU16C, RVU16D, RVU17A, RVU17B, RVU17C, RVU17D, RVU18AR1, RVU18B, RVU18C, RVU18D, RVU19A, RVU19B, RVU19C, RVU19D, RVU20A, RVU20B, RVU20C, RVU20D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $2,561.33 | $139.77 | RVU26D |
| 2026-07-01 | $2,561.33 | $139.77 | RVU26C |
| 2026-04-01 | $2,561.33 | $139.77 | RVU26B |
| 2026-01-01 | $2,561.33 | $139.77 | RVU26A |
| 2025-10-01 | $2,471.19 | $161.97 | RVU25D |
| 2025-07-01 | $2,471.19 | $161.97 | RVU25C |
| 2025-04-01 | $2,471.19 | $161.97 | RVU25B |
| 2025-01-01 | $2,471.19 | $161.97 | RVU25A |
| 2024-10-01 | $2,674.39 | $165.85 | RVU24D |
| 2024-07-01 | $2,674.39 | $165.85 | RVU24C |
| 2024-04-01 | $2,674.39 | $165.85 | RVU24B |
| 2024-03-09 | $2,674.39 | $165.85 | RVU24AR |
| 2024-01-01 | $2,630.74 | $163.14 | RVU24A |
| 2023-10-01 | $2,810.39 | $168.21 | RVU23D |
| 2023-07-01 | $2,810.39 | $168.21 | RVU23C |
| 2023-04-01 | $2,810.39 | $168.21 | RVU23B |
| 2023-01-01 | $2,810.39 | $168.21 | RVU23A |
| 2022-10-01 | $2,933.60 | $168.57 | RVU22D |
| 2022-07-01 | $2,933.60 | $168.57 | RVU22C |
| 2022-04-01 | $2,933.60 | $168.57 | RVU22B |
| 2022-01-01 | $2,933.60 | $168.57 | RVU22A |
| 2021-10-01 | $3,103.93 | $168.02 | RVU21D |
| 2021-07-01 | $3,103.93 | $168.02 | RVU21C |
| 2021-04-01 | $3,103.93 | $168.02 | RVU21B |
| 2021-01-01 | $3,103.93 | $168.02 | RVU21A |
| 2020-10-01 | Not in this release | Not in this release | RVU20D |
| 2020-07-01 | Not in this release | Not in this release | RVU20C |
| 2020-04-01 | Not in this release | Not in this release | RVU20B |
| 2020-01-01 | Not in this release | Not in this release | RVU20A |
| 2019-10-01 | Not in this release | Not in this release | RVU19D |
| 2019-07-01 | Not in this release | Not in this release | RVU19C |
| 2019-04-01 | Not in this release | Not in this release | RVU19B |
| 2019-01-01 | Not in this release | Not in this release | RVU19A |
| 2018-10-01 | Not in this release | Not in this release | RVU18D |
| 2018-07-01 | Not in this release | Not in this release | RVU18C |
| 2018-04-01 | Not in this release | Not in this release | RVU18B |
| 2018-01-01 | Not in this release | Not in this release | RVU18AR1 |
| 2017-10-01 | Not in this release | Not in this release | RVU17D |
| 2017-07-01 | Not in this release | Not in this release | RVU17C |
| 2017-04-01 | Not in this release | Not in this release | RVU17B |
| 2017-01-01 | Not in this release | Not in this release | RVU17A |
| 2016-10-01 | Not in this release | Not in this release | RVU16D |
| 2016-07-01 | Not in this release | Not in this release | RVU16C |
| 2016-04-01 | Not in this release | Not in this release | RVU16B |
| 2016-01-01 | Not in this release | Not in this release | RVU16A |
| 2015-10-01 | Not in this release | Not in this release | RVU15D |
| 2015-07-01 | Not in this release | Not in this release | RVU15C |
| 2015-04-01 | Not in this release | Not in this release | RVU15B |
| 2015-01-01 | Not in this release | Not in this release | RVU15A |
| 2014-10-01 | Not in this release | Not in this release | RVU14D |
| 2014-07-01 | Not in this release | Not in this release | RVU14C |
| 2014-04-01 | Not in this release | Not in this release | RVU14B |
| 2014-01-01 | Not in this release | Not in this release | RVU14A |
| 2013-10-01 | Not in this release | Not in this release | RVU13D |
| 2013-07-01 | Not in this release | Not in this release | RVU13C |
| 2013-04-01 | Not in this release | Not in this release | RVU13B |
| 2013-01-01 | Not in this release | Not in this release | RVU13AR |
Where the North Dakota rate applies
North Dakota is a Medicare payment area, not a city. Our Census mapping connects it to 406 cities and communities in North Dakota. Some span more than one payment area; confirm with the service ZIP.
- Abercrombie
- Adams
- Alamo
- Alexander
- Alice
- Almont
- Alsen
- Ambrose
69705 billing questions
When should 69705 be used instead of 69706?
Use 69705 when dilation is performed on one eustachian tube. Use 69706 when both tubes are treated in the same session.
Should modifier 50 be added when both sides are treated?
No. Report the bilateral code 69706 for treatment of both sides rather than applying modifier 50 to 69705.
What documentation supports 69705?
Document the treated side, the endoscopic approach and dilation performed, and the clinical findings and symptoms supporting treatment of obstructive eustachian tube dysfunction.
Is same-day care included in the procedure payment?
Yes. The 0-day global period includes same-day preoperative and postoperative care.
Can an assistant surgeon be reported?
Assistant-at-surgery payment requires documentation of medical necessity. Co-surgeon and team-surgery payment are not permitted for this procedure.
How is another related endoscopy priced when performed in the same session?
CMS applies endoscopy-family pricing when related endoscopies are performed together. The operative record should identify the procedures performed.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
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