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CMS RVU26D · Effective 2026-10-01

69706 in Madera

Office / nonfacility

$2893.94

Base rate per service

Facility setting

$202.94

Base rate per service

Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.

Otolaryngology procedure

About 69706: Bilateral eustachian tube balloon dilation

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

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.

CMS billing rules for 69706

Global period
Minor procedure with a 0-day global period: same-day preoperative and postoperative care is included.
Multiple procedures
Endoscopy family pricing applies when related endoscopies are performed together.
Bilateral procedures
The code is already priced as bilateral; modifier 50 does not increase payment.
Assistant at surgery
Assistant at surgery is paid only with documentation of medical necessity.
Co-surgeons
Co-surgeons not permitted.
Team surgery
Team surgery not permitted.

Where the value comes from

  • Work RVU4.16 · 5%
  • Practice expense (office) RVU74.90 · 94%
  • Malpractice RVU0.60 · 1%

4.6K

Medicare services in 2024 · #1939 by national volume

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.

69706 compared with similar codes

Office rates for Madera, from the same CMS release.

69705

Eustachian tube dilation

Unilateral endoscopic dilation

$2,800.80

This is the unilateral sibling. Choose 69705 for dilation of one eustachian tube and 69706 for dilation of both.

69436

Tympanostomy

Tube insertion, general anesthesia

No office rate

69436 places a ventilation tube through the tympanic membrane, while 69706 dilates both eustachian tubes endoscopically through the nose.

92511

Nasopharyngoscopy

Endoscopic nasopharynx exam

$124.72

92511 is diagnostic nasopharyngoscopy. It does not represent surgical dilation of both eustachian tubes.

The same code, a different location

How does Madera compare?

In Bakersfield, the office rate for 69706 is $2895.69—$1.75 higher than the $2893.94 rate in Madera. Both use the same code, release and participation basis.

69706 across payment areas

Same release and payment basis · bars start at $0

  1. Madera · This locality

    $2893.94

  2. Bakersfield

    $2895.69

    $1.75 higher than Madera

  3. Chico

    $2893.94

    The same base rate than Madera

  4. El Centro

    $2894.05

    $0.11 higher than Madera

  5. Fresno

    $2893.94

    The same base rate than Madera

  6. Hanford-Corcoran

    $2893.94

    The same base rate than Madera

  7. Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)

    $3117.50

    $223.56 higher than Madera

Other payment areas listed in California appear first, followed by selected cross-country examples. The chart compares amounts, not distance.

Across 109 of 109 CMS payment localities with a supported office rate, 69706 ranges from $2298.25 in Arkansas to $3772.46 in San Jose-Sunnyvale-Santa Clara (San Benito Cnty). This is a geographic range, not an average.

The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.

Compare all 108 other payment areas

  • Merced

    California · 69706

    Office

    $2893.94

    Facility

    $202.94

    The same base rate than Madera for the office setting.

  • Modesto

    California · 69706

    Office

    $2893.94

    Facility

    $202.94

    The same base rate than Madera for the office setting.

  • Napa

    California · 69706

    Office

    $3455.16

    Facility

    $219.07

    $561.22 higher than Madera for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 69706

    Office

    $3112.37

    Facility

    $210.20

    $218.43 higher than Madera for the office setting.

  • Redding

    California · 69706

    Office

    $2893.94

    Facility

    $202.94

    The same base rate than Madera for the office setting.

  • Rest Of California

    California · 69706

    Office

    $2893.94

    Facility

    $202.94

    The same base rate than Madera for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 69706

    Office

    $2900.44

    Facility

    $209.43

    $6.50 higher than Madera for the office setting.

  • Sacramento-Roseville-Folsom

    California · 69706

    Office

    $3064.20

    Facility

    $208.69

    $170.26 higher than Madera for the office setting.

  • Salinas

    California · 69706

    Office

    $3053.50

    Facility

    $207.81

    $159.56 higher than Madera for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 69706

    Office

    $3146.04

    Facility

    $209.51

    $252.10 higher than Madera for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 69706

    Office

    $3688.78

    Facility

    $226.81

    $794.84 higher than Madera for the office setting.

  • San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)

    California · 69706

    Office

    $3688.10

    Facility

    $226.13

    $794.16 higher than Madera for the office setting.

  • San Jose-Sunnyvale-Santa Clara (San Benito Cnty)

    California · 69706

    Office

    $3772.46

    Facility

    $231.92

    $878.52 higher than Madera for the office setting.

  • San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)

    California · 69706

    Office

    $3769.68

    Facility

    $229.14

    $875.74 higher than Madera for the office setting.

  • San Luis Obispo-Paso Robles

    California · 69706

    Office

    $3001.52

    Facility

    $204.93

    $107.58 higher than Madera for the office setting.

  • Santa Cruz-Watsonville

    California · 69706

    Office

    $3192.21

    Facility

    $209.02

    $298.27 higher than Madera for the office setting.

  • Santa Maria-Santa Barbara

    California · 69706

    Office

    $3070.59

    Facility

    $207.71

    $176.65 higher than Madera for the office setting.

  • Santa Rosa-Petaluma

    California · 69706

    Office

    $3225.98

    Facility

    $210.87

    $332.04 higher than Madera for the office setting.

  • Stockton

    California · 69706

    Office

    $2893.94

    Facility

    $202.94

    The same base rate than Madera for the office setting.

  • Vallejo

    California · 69706

    Office

    $3454.18

    Facility

    $218.09

    $560.24 higher than Madera for the office setting.

  • Visalia

    California · 69706

    Office

    $2893.94

    Facility

    $202.94

    The same base rate than Madera for the office setting.

  • Yuba City

    California · 69706

    Office

    $2893.94

    Facility

    $202.94

    The same base rate than Madera for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 69706

    Office

    $3115.79

    Facility

    $223.45

    $221.85 higher than Madera for the office setting.

  • Miami

    Florida · 69706

    Office

    $2793.93

    Facility

    $237.96

    $100.01 lower than Madera for the office setting.

  • Chicago

    Illinois · 69706

    Office

    $2700.15

    Facility

    $232.57

    $193.79 lower than Madera for the office setting.

  • Manhattan

    New York · 69706

    Office

    $3086.63

    Facility

    $233.57

    $192.69 higher than Madera for the office setting.

  • Alaska*

    Alaska · 69706

    Office

    $2883.80

    Facility

    $268.91

    $10.14 lower than Madera for the office setting.

  • Alabama

    Alabama · 69706

    Office

    $2339.30

    Facility

    $190.91

    $554.64 lower than Madera for the office setting.

  • Arkansas

    Arkansas · 69706

    Office

    $2298.25

    Facility

    $189.15

    $595.69 lower than Madera for the office setting.

  • Arizona

    Arizona · 69706

    Office

    $2580.28

    Facility

    $201.09

    $313.66 lower than Madera for the office setting.

  • Colorado

    Colorado · 69706

    Office

    $2818.10

    Facility

    $205.67

    $75.84 lower than Madera for the office setting.

  • Connecticut

    Connecticut · 69706

    Office

    $2860.34

    Facility

    $215.98

    $33.60 lower than Madera for the office setting.

  • Delaware

    Delaware · 69706

    Office

    $2629.37

    Facility

    $203.53

    $264.57 lower than Madera for the office setting.

  • Fort Lauderdale

    Florida · 69706

    Office

    $2709.43

    Facility

    $222.21

    $184.51 lower than Madera for the office setting.

  • Rest Of Florida

    Florida · 69706

    Office

    $2560.72

    Facility

    $213.45

    $333.22 lower than Madera for the office setting.

  • Atlanta

    Georgia · 69706

    Office

    $2705.19

    Facility

    $210.60

    $188.75 lower than Madera for the office setting.

  • Rest Of Georgia

    Georgia · 69706

    Office

    $2394.38

    Facility

    $204.25

    $499.56 lower than Madera for the office setting.

  • Hawaii, Guam

    Hawaii · 69706

    Office

    $2995.02

    Facility

    $203.34

    $101.08 higher than Madera for the office setting.

  • Iowa

    Iowa · 69706

    Office

    $2435.98

    Facility

    $189.38

    $457.96 lower than Madera for the office setting.

  • Idaho

    Idaho · 69706

    Office

    $2450.02

    Facility

    $191.14

    $443.92 lower than Madera for the office setting.

  • East St. Louis

    Illinois · 69706

    Office

    $2480.90

    Facility

    $222.02

    $413.04 lower than Madera for the office setting.

  • Rest Of Illinois

    Illinois · 69706

    Office

    $2454.35

    Facility

    $212.66

    $439.59 lower than Madera for the office setting.

  • Suburban Chicago

    Illinois · 69706

    Office

    $2744.71

    Facility

    $223.11

    $149.23 lower than Madera for the office setting.

  • Indiana

    Indiana · 69706

    Office

    $2467.79

    Facility

    $191.73

    $426.15 lower than Madera for the office setting.

  • Kansas

    Kansas · 69706

    Office

    $2410.61

    Facility

    $191.02

    $483.33 lower than Madera for the office setting.

  • Kentucky

    Kentucky · 69706

    Office

    $2381.32

    Facility

    $198.56

    $512.62 lower than Madera for the office setting.

  • New Orleans

    Louisiana · 69706

    Office

    $2515.84

    Facility

    $205.40

    $378.10 lower than Madera for the office setting.

  • Rest Of Louisiana

    Louisiana · 69706

    Office

    $2372.18

    Facility

    $199.23

    $521.76 lower than Madera for the office setting.

  • Metropolitan Boston

    Massachusetts · 69706

    Office

    $3149.54

    Facility

    $217.91

    $255.60 higher than Madera for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 69706

    Office

    $2791.46

    Facility

    $206.03

    $102.48 lower than Madera for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 69706

    Office

    $2850.31

    Facility

    $215.78

    $43.63 lower than Madera for the office setting.

  • Rest Of Maryland

    Maryland · 69706

    Office

    $2690.48

    Facility

    $205.72

    $203.46 lower than Madera for the office setting.

  • Rest Of Maine

    Maine · 69706

    Office

    $2453.00

    Facility

    $194.13

    $440.94 lower than Madera for the office setting.

  • Southern Maine

    Maine · 69706

    Office

    $2630.81

    Facility

    $197.60

    $263.13 lower than Madera for the office setting.

  • Detroit

    Michigan · 69706

    Office

    $2586.90

    Facility

    $217.54

    $307.04 lower than Madera for the office setting.

  • Rest Of Michigan

    Michigan · 69706

    Office

    $2445.65

    Facility

    $203.96

    $448.29 lower than Madera for the office setting.

  • Minnesota

    Minnesota · 69706

    Office

    $2719.16

    Facility

    $192.65

    $174.78 lower than Madera for the office setting.

  • Metropolitan Kansas City

    Missouri · 69706

    Office

    $2507.65

    Facility

    $202.12

    $386.29 lower than Madera for the office setting.

  • Metropolitan St. Louis

    Missouri · 69706

    Office

    $2540.67

    Facility

    $203.23

    $353.27 lower than Madera for the office setting.

  • Rest Of Missouri

    Missouri · 69706

    Office

    $2314.96

    Facility

    $198.49

    $578.98 lower than Madera for the office setting.

  • Mississippi

    Mississippi · 69706

    Office

    $2307.75

    Facility

    $193.73

    $586.19 lower than Madera for the office setting.

  • Montana**

    Montana · 69706

    Office

    $2660.68

    Facility

    $205.38

    $233.26 lower than Madera for the office setting.

  • North Carolina

    North Carolina · 69706

    Office

    $2485.87

    Facility

    $195.07

    $408.07 lower than Madera for the office setting.

  • North Dakota**

    North Dakota · 69706

    Office

    $2648.81

    Facility

    $193.51

    $245.13 lower than Madera for the office setting.

  • Nebraska

    Nebraska · 69706

    Office

    $2455.62

    Facility

    $189.38

    $438.32 lower than Madera for the office setting.

  • New Hampshire

    New Hampshire · 69706

    Office

    $2760.78

    Facility

    $204.81

    $133.16 lower than Madera for the office setting.

  • Northern Nj

    New Jersey · 69706

    Office

    $3071.11

    Facility

    $222.96

    $177.17 higher than Madera for the office setting.

  • Rest Of New Jersey

    New Jersey · 69706

    Office

    $2898.38

    Facility

    $217.19

    $4.44 higher than Madera for the office setting.

  • New Mexico

    New Mexico · 69706

    Office

    $2457.10

    Facility

    $205.59

    $436.84 lower than Madera for the office setting.

  • Nevada**

    Nevada · 69706

    Office

    $2659.87

    Facility

    $202.12

    $234.07 lower than Madera for the office setting.

  • Nyc Suburbs/Long Island

    New York · 69706

    Office

    $3159.61

    Facility

    $240.26

    $265.67 higher than Madera for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 69706

    Office

    $2908.84

    Facility

    $220.29

    $14.90 higher than Madera for the office setting.

  • Queens

    New York · 69706

    Office

    $3133.78

    Facility

    $231.62

    $239.84 higher than Madera for the office setting.

  • Rest Of New York

    New York · 69706

    Office

    $2529.68

    Facility

    $197.14

    $364.26 lower than Madera for the office setting.

  • Ohio

    Ohio · 69706

    Office

    $2443.23

    Facility

    $201.54

    $450.71 lower than Madera for the office setting.

  • Oklahoma

    Oklahoma · 69706

    Office

    $2388.56

    Facility

    $195.98

    $505.38 lower than Madera for the office setting.

  • Portland

    Oregon · 69706

    Office

    $2935.50

    Facility

    $207.66

    $41.56 higher than Madera for the office setting.

  • Rest Of Oregon

    Oregon · 69706

    Office

    $2644.76

    Facility

    $199.28

    $249.18 lower than Madera for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 69706

    Office

    $2769.66

    Facility

    $213.69

    $124.28 lower than Madera for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 69706

    Office

    $2454.47

    Facility

    $200.51

    $439.47 lower than Madera for the office setting.

  • Puerto Rico

    Puerto Rico · 69706

    Office

    $2687.93

    Facility

    $205.63

    $206.01 lower than Madera for the office setting.

  • Rhode Island

    Rhode Island · 69706

    Office

    $2743.75

    Facility

    $207.42

    $150.19 lower than Madera for the office setting.

  • South Carolina

    South Carolina · 69706

    Office

    $2467.58

    Facility

    $198.88

    $426.36 lower than Madera for the office setting.

  • South Dakota**

    South Dakota · 69706

    Office

    $2647.41

    Facility

    $192.11

    $246.53 lower than Madera for the office setting.

  • Tennessee

    Tennessee · 69706

    Office

    $2423.78

    Facility

    $191.91

    $470.16 lower than Madera for the office setting.

  • Austin

    Texas · 69706

    Office

    $2803.81

    Facility

    $206.10

    $90.13 lower than Madera for the office setting.

  • Beaumont

    Texas · 69706

    Office

    $2434.14

    Facility

    $199.81

    $459.80 lower than Madera for the office setting.

  • Brazoria

    Texas · 69706

    Office

    $2634.90

    Facility

    $201.70

    $259.04 lower than Madera for the office setting.

  • Dallas

    Texas · 69706

    Office

    $2649.11

    Facility

    $203.63

    $244.83 lower than Madera for the office setting.

  • Fort Worth

    Texas · 69706

    Office

    $2624.36

    Facility

    $203.43

    $269.58 lower than Madera for the office setting.

  • Galveston

    Texas · 69706

    Office

    $2640.87

    Facility

    $202.76

    $253.07 lower than Madera for the office setting.

  • Houston

    Texas · 69706

    Office

    $2651.85

    Facility

    $213.74

    $242.09 lower than Madera for the office setting.

  • Rest Of Texas

    Texas · 69706

    Office

    $2531.18

    Facility

    $201.10

    $362.76 lower than Madera for the office setting.

  • Utah

    Utah · 69706

    Office

    $2508.57

    Facility

    $200.59

    $385.37 lower than Madera for the office setting.

  • Virginia

    Virginia · 69706

    Office

    $2612.29

    Facility

    $198.73

    $281.65 lower than Madera for the office setting.

  • Virgin Islands

    United States Virgin Islands · 69706

    Office

    $2687.93

    Facility

    $205.63

    $206.01 lower than Madera for the office setting.

  • Vermont

    Vermont · 69706

    Office

    $2625.80

    Facility

    $195.05

    $268.14 lower than Madera for the office setting.

  • Rest Of Washington

    Washington · 69706

    Office

    $2790.32

    Facility

    $204.89

    $103.62 lower than Madera for the office setting.

  • Seattle (King Cnty)

    Washington · 69706

    Office

    $3231.89

    Facility

    $219.23

    $337.95 higher than Madera for the office setting.

  • Wisconsin

    Wisconsin · 69706

    Office

    $2541.78

    Facility

    $189.60

    $352.16 lower than Madera for the office setting.

  • West Virginia

    West Virginia · 69706

    Office

    $2341.63

    Facility

    $207.97

    $552.31 lower than Madera for the office setting.

  • Wyoming**

    Wyoming · 69706

    Office

    $2655.51

    Facility

    $200.20

    $238.43 lower than Madera for the office setting.

See how rates vary across the country

69706 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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 all state and territory rates as a table
State / territoryRate 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

Explore 69706 on the national rate map →

Where does this rate apply?

Madera is a Medicare payment area. Our Census mapping connects it to 17 cities and communities in California, including the examples shown here.

Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.

Browse all communities in California →

Why are the office and facility amounts different?

For 69706 in Madera, the physician’s office rate is $2893.94 and the facility-setting rate is $202.94: a difference of $2691.00.

The calculation uses a different practice-expense RVU for each setting. Both amounts here are physician fee-schedule amounts. The facility figure does not include a hospital’s separate charges, so this comparison does not tell you the total cost of receiving care in each setting.

See the inputs behind this difference →

Use this rate

What is a percentage of Medicare worth?

Turn a percentage into dollars for 69706 in Madera. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$3183.33

$2893.94 × 110% = $3183.33

A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.

Working with a whole code list?

Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.

Compare your contract offer →

How this local rate is calculated

Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 69706 in Madera.

PPRRVU2026_Oct_nonQPP.csv

7,647

Code
69706
Physician work
4.16
Practice expense
74.90
Malpractice
0.60

GPCI2026.csv

14

Locality
Madera
Physician work
1.017
Practice expense
1.096
Malpractice
0.536
Office / nonfacility calculation for 69706 in Madera
ComponentRVULocality factorAdjusted
Physician work4.16× 1.0174.2307
Practice expense74.90× 1.09682.0904
Malpractice0.60× 0.5360.3216
Total RVUs86.6427
Conversion factor× 33.4009

Office / nonfacility rate, Madera$2893.94

Open 69706 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work4.161.017
Practice expense74.91.096
Malpractice0.60.536

(4.16 × 1.017 + 74.9 × 1.096 + 0.6 × 0.536) × $33.4009 = $2893.94

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work4.161.017
Practice expense1.391.096
Malpractice0.60.536

(4.16 × 1.017 + 1.39 × 1.096 + 0.6 × 0.536) × $33.4009 = $202.94

The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.

How this rate has changed

69706 · Office / nonfacility

$2893.94

Effective 2026-10-01

The base rate is $111.38 higher than on 2025-10-01, moving from $2782.56 to $2893.94 (4.0%).

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

    $2782.56changed to$2893.94

    • 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
    • Work GPCI 1.014 changed to 1.017
    • Practice expense GPCI 1.093 changed to 1.096
    • Malpractice GPCI 0.560 changed to 0.536

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $2782.56

    Held through RVU25B, RVU25C, RVU25D.

Explore release dates and calculate this code in an earlier period →

Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.

Inspect every release and its CMS source
Effective fromOffice / nonfacilityFacilityCMS release
2026-10-01$2893.94$202.94RVU26D
2026-07-01$2893.94$202.94RVU26C
2026-04-01$2893.94$202.94RVU26B
2026-01-01$2893.94$202.94RVU26A
2025-10-01$2782.56$235.96RVU25D
2025-07-01$2782.56$235.96RVU25C
2025-04-01$2782.56$235.96RVU25B
2025-01-01$2782.56$235.96RVU25A

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 indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.

Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.

RVUs for 69706PPRRVU2026_Oct_nonQPP.csv, line 7,647 (RVU26D)
Geographic factors for MaderaGPCI2026.csv, line 14 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet