CPT code 69706: Eustachian tube dilation, bilateral, endoscopic2026 Medicare rate & RVUs in New Orleans, LA

Reports endoscopic dilation of both eustachian tubes, typically by balloon, to treat obstructive eustachian tube dysfunction.

CMS RVU26DEffective Oct 1, 2026One payment locality4.6K Medicare services in 2024

In New Orleans, LA, Medicare pays $2,515.84 for 69706 in the office and $205.40 when it’s performed in a hospital or facility.

$2,515.84Office (non-facility)
$205.40Hospital or facility
−5.4%vs the national office rate ($2,660.72)

Check a contract rate as a % of Medicare · 69706 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 69706 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in New Orleans, LA
  2. What 69706 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 69706 covers

An otolaryngologist reaches the eustachian tube openings through the nose using a nasopharyngoscope, then dilates both tubes, commonly with a balloon catheter. The procedure is used for obstructive eustachian tube dysfunction, which can cause persistent ear pressure, trouble equalizing pressure, or middle-ear ventilation problems. It may be performed in an office-based procedure setting or a facility, depending on the patient and practice setup.

Report 69706 when both eustachian tubes are surgically dilated during the session; use the unilateral code when only one side is treated. The operative note should identify the treated sides, the dilation performed, and the clinical findings supporting treatment. The bilateral service is already reflected in the code, so modifier 50 does not increase payment. This minor procedure has a 0-day global period, including same-day preoperative and postoperative care. When related endoscopies are performed together, CMS endoscopy family pricing applies. Assistant-at-surgery payment requires documented medical necessity; co-surgeons and team surgery 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 New Orleans, LA compares for 69706

Across 109 of 109 payment localities, the office rate for 69706 runs from $2,298.25 in Arkansas to $3,772.46 in San Benito County, CA. New Orleans, LA pays $2,515.84. The RVUs are the same everywhere; the geographic indexes change the dollars.

69706 in New Orleans, LA vs other payment areas
  1. New Orleans, LA · this page$2,515.84
  2. Rest of Louisiana · Louisiana$2,372.18−$143.66
  3. Los Angeles, CA · California$3,117.50+$601.66
  4. Washington, DC area · District of Columbia$3,115.79+$599.95
  5. Miami, FL · Florida$2,793.93+$278.09
  6. Chicago, IL · Illinois$2,700.15+$184.31
  7. Manhattan, NY · New York$3,086.63+$570.79

Other areas in Louisiana first, then benchmark localities. Bars start at $0.

Every other payment area

69706 in every other Medicare payment locality
Payment localityOfficeFacility
AlaskaAlaska$2,883.80$268.91
AlabamaAlabama$2,339.30$190.91
ArkansasArkansas$2,298.25$189.15
ArizonaArizona$2,580.28$201.09
Bakersfield, CACalifornia$2,895.69$204.68
Chico, CACalifornia$2,893.94$202.94
El Centro, CACalifornia$2,894.05$203.04
Fresno, CACalifornia$2,893.94$202.94

69706 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.

$2,298.25

$3,333.20

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
69706 office rate range by state
State / territoryOffice rate rangeLocalities
AK$2,883.801
AL$2,339.301
AR$2,298.251
AZ$2,580.281
CA$2,893.94–$3,772.4629
CO$2,818.101
CT$2,860.341
DC$3,115.791
DE$2,629.371
FL$2,560.72–$2,793.933
GA$2,394.38–$2,705.192
GU$2,995.021
HI$2,995.021
IA$2,435.981
ID$2,450.021
IL$2,454.35–$2,744.714
IN$2,467.791
KS$2,410.611
KY$2,381.321
LA$2,372.18–$2,515.842
MA$2,791.46–$3,149.542
MD$2,690.48–$3,115.793
ME$2,453.00–$2,630.812
MI$2,445.65–$2,586.902
MN$2,719.161
MO$2,314.96–$2,540.673
MS$2,307.751
MT$2,660.681
NC$2,485.871
ND$2,648.811
NE$2,455.621
NH$2,760.781
NJ$2,898.38–$3,071.112
NM$2,457.101
NV$2,659.871
NY$2,529.68–$3,159.615
OH$2,443.231
OK$2,388.561
OR$2,644.76–$2,935.502
PA$2,454.47–$2,769.662
PR$2,687.931
RI$2,743.751
SC$2,467.581
SD$2,647.411
TN$2,423.781
TX$2,434.14–$2,803.818
UT$2,508.571
VA$2,612.29–$3,115.792
VI$2,687.931
VT$2,625.801
WA$2,790.32–$3,231.892
WI$2,541.781
WV$2,341.631
WY$2,655.511

See 69706 in every payment locality

How the 69706 rate is calculated

Each of 69706’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 · 69706

RVUs × geographic indexes × conversion factor

Office or facility?

Work4.16

4.16 RVUs× 1.000 GPCI

Practice expense74.90

74.90 RVUs× 1.000 GPCI

Malpractice0.60

0.60 RVUs× 1.000 GPCI

Adjusted RVUs

79.6600

Conversion factor

$33.4009

Medicare rate

$2,660.72

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact New Orleans, LA inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

7,647

Code
69706
Physician work
4.16
Practice expense
74.90
Malpractice
0.60

GPCI2026.csv

56

Locality
New Orleans, LA
Physician work
1.000
Practice expense
0.941
Malpractice
1.136
Office calculation for 69706 in New Orleans, LA
ComponentRVULocality factorAdjusted
Physician work4.16× 1.0004.1600
Practice expense74.90× 0.94170.4809
Malpractice0.60× 1.1360.6816
Total RVUs75.3225
Conversion factor× 33.4009

Office rate, New Orleans, LA$2515.84

Office: (4.16 × 1 + 74.9 × 0.941 + 0.6 × 1.136) × $33.4009 = $2515.84

Facility: (4.16 × 1 + 1.39 × 0.941 + 0.6 × 1.136) × $33.4009 = $205.40

Open 69706 in the RVU calculator

Payment rules and modifiers for 69706

The CMS indicators that decide how 69706 is paid alongside other services.

CMS payment indicators · 69706

Eustachian tube dilation, bilateral, endoscopic

RuleCMS valueWhat it means
Global period000Same-day global: pre- and post-op care on the day of the procedure is included.
Multiple procedures3Endoscopy family rules apply.
Bilateral (modifier 50)2Already bilateral by definition: paid once at 100%.
Assistant at surgery (80/81/82/AS)0Not paid without supporting documentation.
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

69706 without 51 · national office

$2,660.72

Eustachian tube dilation, bilateral, endoscopic

69706-51 · Second procedure: 50%

$1,330.36

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%).

When to use modifier 51

How 69706 has changed in New Orleans, LA

69706 · Office / nonfacility

$2515.84

Effective 2026-10-01

The base rate is $103.41 higher than on 2025-10-01, moving from $2412.43 to $2515.84 (4.3%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

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
  1. January 1, 2026

    RVU26A

    $2412.43changed to$2515.84

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 4.27 changed to 4.16
    • Practice expense RVU 74.42 changed to 74.90
    • Malpractice RVU 0.63 changed to 0.60
    • Practice expense GPCI 0.935 changed to 0.941
    • Malpractice GPCI 1.156 changed to 1.136

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $2603.61changed to$2412.43

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 78.32 changed to 74.42
    • Malpractice RVU 0.62 changed to 0.63

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $2561.12changed to$2603.61

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $2730.29changed to$2561.12

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 81.09 changed to 78.32
    • Malpractice RVU 0.60 changed to 0.62
    • Practice expense GPCI 0.931 changed to 0.935
    • Malpractice GPCI 1.342 changed to 1.156
  5. January 1, 2023

    RVU23A

    $2838.28changed to$2730.29

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 82.88 changed to 81.09
    • Practice expense GPCI 0.927 changed to 0.931
    • Malpractice GPCI 1.528 changed to 1.342

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $2995.51changed to$2838.28

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 87.03 changed to 82.88
    • Malpractice RVU 0.59 changed to 0.60

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    No ratechanged to$2995.51

    Held through RVU21B, RVU21C, RVU21D.

  8. 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.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$2,515.84$205.40RVU26D
2026-07-01$2,515.84$205.40RVU26C
2026-04-01$2,515.84$205.40RVU26B
2026-01-01$2,515.84$205.40RVU26A
2025-10-01$2,412.43$233.96RVU25D
2025-07-01$2,412.43$233.96RVU25C
2025-04-01$2,412.43$233.96RVU25B
2025-01-01$2,412.43$233.96RVU25A
2024-10-01$2,603.61$239.45RVU24D
2024-07-01$2,603.61$239.45RVU24C
2024-04-01$2,603.61$239.45RVU24B
2024-03-09$2,603.61$239.45RVU24AR
2024-01-01$2,561.12$235.54RVU24A
2023-10-01$2,730.29$246.44RVU23D
2023-07-01$2,730.29$246.44RVU23C
2023-04-01$2,730.29$246.44RVU23B
2023-01-01$2,730.29$246.44RVU23A
2022-10-01$2,838.28$252.32RVU22D
2022-07-01$2,838.28$252.32RVU22C
2022-04-01$2,838.28$252.32RVU22B
2022-01-01$2,838.28$252.32RVU22A
2021-10-01$2,995.51$250.96RVU21D
2021-07-01$2,995.51$250.96RVU21C
2021-04-01$2,995.51$250.96RVU21B
2021-01-01$2,995.51$250.96RVU21A
2020-10-01Not in this releaseNot in this releaseRVU20D
2020-07-01Not in this releaseNot in this releaseRVU20C
2020-04-01Not in this releaseNot in this releaseRVU20B
2020-01-01Not in this releaseNot in this releaseRVU20A
2019-10-01Not in this releaseNot in this releaseRVU19D
2019-07-01Not in this releaseNot in this releaseRVU19C
2019-04-01Not in this releaseNot in this releaseRVU19B
2019-01-01Not in this releaseNot in this releaseRVU19A
2018-10-01Not in this releaseNot in this releaseRVU18D
2018-07-01Not in this releaseNot in this releaseRVU18C
2018-04-01Not in this releaseNot in this releaseRVU18B
2018-01-01Not in this releaseNot in this releaseRVU18AR1
2017-10-01Not in this releaseNot in this releaseRVU17D
2017-07-01Not in this releaseNot in this releaseRVU17C
2017-04-01Not in this releaseNot in this releaseRVU17B
2017-01-01Not in this releaseNot in this releaseRVU17A
2016-10-01Not in this releaseNot in this releaseRVU16D
2016-07-01Not in this releaseNot in this releaseRVU16C
2016-04-01Not in this releaseNot in this releaseRVU16B
2016-01-01Not in this releaseNot in this releaseRVU16A
2015-10-01Not in this releaseNot in this releaseRVU15D
2015-07-01Not in this releaseNot in this releaseRVU15C
2015-04-01Not in this releaseNot in this releaseRVU15B
2015-01-01Not in this releaseNot in this releaseRVU15A
2014-10-01Not in this releaseNot in this releaseRVU14D
2014-07-01Not in this releaseNot in this releaseRVU14C
2014-04-01Not in this releaseNot in this releaseRVU14B
2014-01-01Not in this releaseNot in this releaseRVU14A
2013-10-01Not in this releaseNot in this releaseRVU13D
2013-07-01Not in this releaseNot in this releaseRVU13C
2013-04-01Not in this releaseNot in this releaseRVU13B
2013-01-01Not in this releaseNot in this releaseRVU13AR

Price 69706 for an earlier date of service

Where the New Orleans, LA rate applies

New Orleans, LA is a Medicare payment area, not a city. Our Census mapping connects it to 37 cities and communities in Louisiana. Some span more than one payment area; confirm with the service ZIP.

Browse all communities in Louisiana

69706 billing questions

When should 69706 be used instead of 69705?

Use 69706 when both eustachian tubes are surgically dilated in the session. Use 69705 when dilation is performed on one side only.

Should modifier 50 be appended for bilateral treatment?

No. 69706 is already priced as a bilateral service, and modifier 50 does not increase payment.

Can the nasopharyngoscopy used to guide dilation be reported separately?

The endoscopic approach is part of the surgical dilation service. Do not separately report a diagnostic scope for the visualization used to perform that same dilation.

What documentation supports reporting 69706?

Document the obstructive eustachian tube condition, the clinical findings supporting treatment, and that dilation was performed on both sides.

What happens when another related endoscopy is performed in the same session?

CMS endoscopy family pricing applies when related endoscopies are performed together. The claim is subject to that family pricing rather than treating each related endoscopy as an entirely independent procedure.

Can an assistant surgeon be reported?

Assistant-at-surgery payment is available only when medical necessity is documented. Co-surgeons and team surgery are not permitted for this code.

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
RVUs for 69706PPRRVU2026_Oct_nonQPP.csv, line 7,647 (RVU26D)
Geographic factors for New Orleans, LAGPCI2026.csv, line 56 (RVU26D)

Open CMS sourceHow we calculate rates

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