$213.88
Both services include ventilating-tube placement. Choose 69436 for general anesthesia and 69433 for local or topical anesthesia.
On this page
CMS RVU26D · Effective 2026-10-01
69436 in Redding
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$148.10
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 69436: Tympanostomy with tube under general anesthesia
ENT surgeons report this service when they create an eardrum opening and place a ventilating tube under general anesthesia, typically for middle-ear disease.
An otolaryngologist makes a small opening in the tympanic membrane and places a ventilating tube to help air reach the middle ear and fluid drain. The service is performed under general anesthesia, commonly for children with persistent middle-ear fluid or recurrent ear infections when ventilation is clinically indicated. It may be performed in a hospital outpatient department or ambulatory surgery setting, and may involve one or both ears.
Report this code when the procedure includes tube placement under general anesthesia; documentation should support the clinical indication, ear or ears treated, and tube insertion. The 10-day global period includes related postoperative visits during that period. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. For bilateral treatment, modifier 50 is paid at 150%. An assistant at surgery is not paid, and co-surgeon and team-surgery payment are not permitted.
CMS billing rules for 69436
- Global period
- Minor procedure with a 10-day global period: related postoperative visits for 10 days are included.
- Multiple procedures
- Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
- Bilateral procedures
- Bilateral procedure with modifier 50 is paid at 150%.
- Assistant at surgery
- Statutory restriction: assistant at surgery is not paid.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU1.96 · 45%
- Practice expense (office) RVU2.09 · 48%
- Malpractice RVU0.28 · 6%
11.4K
Medicare services in 2024 · #1407 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.
69436 compared with similar codes
Office rates for Redding, from the same CMS release.
No office rate
This code includes a ventilating tube and is performed under general anesthesia; 69421 describes an eardrum incision without tube placement.
$138.90
69424 is for removing a ventilating tube, not creating an eardrum opening and inserting one.
The same code, a different location
How does Redding compare?
69436 across payment areas
Same release and payment basis · bars start at $0
Redding · This locality
Unavailable
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
No comparable rate is available in this setting.
Other payment areas listed in California appear first, followed by selected cross-country examples. The chart compares amounts, not distance.
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
Madera
California · 69436
Office
Unavailable
Facility
$148.10
No comparable office rate is available.
Merced
California · 69436
Office
Unavailable
Facility
$148.10
No comparable office rate is available.
Modesto
California · 69436
Office
Unavailable
Facility
$148.10
No comparable office rate is available.
Napa
California · 69436
Office
Unavailable
Facility
$166.35
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 69436
Office
Unavailable
Facility
$155.64
No comparable office rate is available.
Rest Of California
California · 69436
Office
Unavailable
Facility
$148.10
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 69436
Office
Unavailable
Facility
$151.13
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 69436
Office
Unavailable
Facility
$154.02
No comparable office rate is available.
Salinas
California · 69436
Office
Unavailable
Facility
$153.42
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 69436
Office
Unavailable
Facility
$155.99
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 69436
Office
Unavailable
Facility
$174.41
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 69436
Office
Unavailable
Facility
$174.09
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 69436
Office
Unavailable
Facility
$178.34
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 69436
Office
Unavailable
Facility
$177.04
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 69436
Office
Unavailable
Facility
$151.10
No comparable office rate is available.
Santa Cruz-Watsonville
California · 69436
Office
Unavailable
Facility
$156.67
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 69436
Office
Unavailable
Facility
$153.71
No comparable office rate is available.
Santa Rosa-Petaluma
California · 69436
Office
Unavailable
Facility
$158.17
No comparable office rate is available.
Stockton
California · 69436
Office
Unavailable
Facility
$148.10
No comparable office rate is available.
Vallejo
California · 69436
Office
Unavailable
Facility
$165.89
No comparable office rate is available.
Visalia
California · 69436
Office
Unavailable
Facility
$148.10
No comparable office rate is available.
Yuba City
California · 69436
Office
Unavailable
Facility
$148.10
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 69436
Office
Unavailable
Facility
$161.64
No comparable office rate is available.
Miami
Florida · 69436
Office
Unavailable
Facility
$161.79
No comparable office rate is available.
Chicago
Illinois · 69436
Office
Unavailable
Facility
$157.54
No comparable office rate is available.
Manhattan
New York · 69436
Office
Unavailable
Facility
$165.61
No comparable office rate is available.
Alaska*
Alaska · 69436
Office
Unavailable
Facility
$177.70
No comparable office rate is available.
Alabama
Alabama · 69436
Office
Unavailable
Facility
$131.84
No comparable office rate is available.
Arkansas
Arkansas · 69436
Office
Unavailable
Facility
$130.25
No comparable office rate is available.
Arizona
Arizona · 69436
Office
Unavailable
Facility
$141.12
No comparable office rate is available.
Colorado
Colorado · 69436
Office
Unavailable
Facility
$147.83
No comparable office rate is available.
Connecticut
Connecticut · 69436
Office
Unavailable
Facility
$153.27
No comparable office rate is available.
Delaware
Delaware · 69436
Office
Unavailable
Facility
$143.17
No comparable office rate is available.
Fort Lauderdale
Florida · 69436
Office
Unavailable
Facility
$153.09
No comparable office rate is available.
Rest Of Florida
Florida · 69436
Office
Unavailable
Facility
$146.26
No comparable office rate is available.
Atlanta
Georgia · 69436
Office
Unavailable
Facility
$147.82
No comparable office rate is available.
Rest Of Georgia
Georgia · 69436
Office
Unavailable
Facility
$138.88
No comparable office rate is available.
Hawaii, Guam
Hawaii · 69436
Office
Unavailable
Facility
$150.25
No comparable office rate is available.
Iowa
Iowa · 69436
Office
Unavailable
Facility
$133.05
No comparable office rate is available.
Idaho
Idaho · 69436
Office
Unavailable
Facility
$134.11
No comparable office rate is available.
East St. Louis
Illinois · 69436
Office
Unavailable
Facility
$148.52
No comparable office rate is available.
Rest Of Illinois
Illinois · 69436
Office
Unavailable
Facility
$143.82
No comparable office rate is available.
Suburban Chicago
Illinois · 69436
Office
Unavailable
Facility
$154.19
No comparable office rate is available.
Indiana
Indiana · 69436
Office
Unavailable
Facility
$134.72
No comparable office rate is available.
Kansas
Kansas · 69436
Office
Unavailable
Facility
$133.29
No comparable office rate is available.
Kentucky
Kentucky · 69436
Office
Unavailable
Facility
$136.08
No comparable office rate is available.
New Orleans
Louisiana · 69436
Office
Unavailable
Facility
$141.78
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 69436
Office
Unavailable
Facility
$136.21
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 69436
Office
Unavailable
Facility
$159.82
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 69436
Office
Unavailable
Facility
$147.47
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 69436
Office
Unavailable
Facility
$152.99
No comparable office rate is available.
Rest Of Maryland
Maryland · 69436
Office
Unavailable
Facility
$145.35
No comparable office rate is available.
Rest Of Maine
Maine · 69436
Office
Unavailable
Facility
$135.51
No comparable office rate is available.
Southern Maine
Maine · 69436
Office
Unavailable
Facility
$140.55
No comparable office rate is available.
Detroit
Michigan · 69436
Office
Unavailable
Facility
$148.60
No comparable office rate is available.
Rest Of Michigan
Michigan · 69436
Office
Unavailable
Facility
$139.76
No comparable office rate is available.
Minnesota
Minnesota · 69436
Office
Unavailable
Facility
$140.07
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 69436
Office
Unavailable
Facility
$140.15
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 69436
Office
Unavailable
Facility
$141.29
No comparable office rate is available.
Rest Of Missouri
Missouri · 69436
Office
Unavailable
Facility
$134.75
No comparable office rate is available.
Mississippi
Mississippi · 69436
Office
Unavailable
Facility
$132.48
No comparable office rate is available.
Montana**
Montana · 69436
Office
Unavailable
Facility
$144.61
No comparable office rate is available.
North Carolina
North Carolina · 69436
Office
Unavailable
Facility
$136.57
No comparable office rate is available.
North Dakota**
North Dakota · 69436
Office
Unavailable
Facility
$139.07
No comparable office rate is available.
Nebraska
Nebraska · 69436
Office
Unavailable
Facility
$133.43
No comparable office rate is available.
New Hampshire
New Hampshire · 69436
Office
Unavailable
Facility
$146.32
No comparable office rate is available.
Northern Nj
New Jersey · 69436
Office
Unavailable
Facility
$160.56
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 69436
Office
Unavailable
Facility
$154.57
No comparable office rate is available.
New Mexico
New Mexico · 69436
Office
Unavailable
Facility
$140.71
No comparable office rate is available.
Nevada**
Nevada · 69436
Office
Unavailable
Facility
$143.13
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 69436
Office
Unavailable
Facility
$170.02
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 69436
Office
Unavailable
Facility
$156.17
No comparable office rate is available.
Queens
New York · 69436
Office
Unavailable
Facility
$165.65
No comparable office rate is available.
Rest Of New York
New York · 69436
Office
Unavailable
Facility
$138.36
No comparable office rate is available.
Ohio
Ohio · 69436
Office
Unavailable
Facility
$138.63
No comparable office rate is available.
Oklahoma
Oklahoma · 69436
Office
Unavailable
Facility
$135.07
No comparable office rate is available.
Portland
Oregon · 69436
Office
Unavailable
Facility
$151.03
No comparable office rate is available.
Rest Of Oregon
Oregon · 69436
Office
Unavailable
Facility
$141.57
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 69436
Office
Unavailable
Facility
$150.47
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 69436
Office
Unavailable
Facility
$138.39
No comparable office rate is available.
Puerto Rico
Puerto Rico · 69436
Office
Unavailable
Facility
$145.25
No comparable office rate is available.
Rhode Island
Rhode Island · 69436
Office
Unavailable
Facility
$147.16
No comparable office rate is available.
South Carolina
South Carolina · 69436
Office
Unavailable
Facility
$137.92
No comparable office rate is available.
South Dakota**
South Dakota · 69436
Office
Unavailable
Facility
$138.42
No comparable office rate is available.
Tennessee
Tennessee · 69436
Office
Unavailable
Facility
$133.94
No comparable office rate is available.
Austin
Texas · 69436
Office
Unavailable
Facility
$147.74
No comparable office rate is available.
Beaumont
Texas · 69436
Office
Unavailable
Facility
$137.68
No comparable office rate is available.
Brazoria
Texas · 69436
Office
Unavailable
Facility
$142.46
No comparable office rate is available.
Dallas
Texas · 69436
Office
Unavailable
Facility
$143.61
No comparable office rate is available.
Fort Worth
Texas · 69436
Office
Unavailable
Facility
$143.03
No comparable office rate is available.
Galveston
Texas · 69436
Office
Unavailable
Facility
$143.05
No comparable office rate is available.
Houston
Texas · 69436
Office
Unavailable
Facility
$148.18
No comparable office rate is available.
Rest Of Texas
Texas · 69436
Office
Unavailable
Facility
$140.16
No comparable office rate is available.
Utah
Utah · 69436
Office
Unavailable
Facility
$139.48
No comparable office rate is available.
Virginia
Virginia · 69436
Office
Unavailable
Facility
$140.69
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 69436
Office
Unavailable
Facility
$145.25
No comparable office rate is available.
Vermont
Vermont · 69436
Office
Unavailable
Facility
$139.31
No comparable office rate is available.
Rest Of Washington
Washington · 69436
Office
Unavailable
Facility
$146.94
No comparable office rate is available.
Seattle (King Cnty)
Washington · 69436
Office
Unavailable
Facility
$162.03
No comparable office rate is available.
Wisconsin
Wisconsin · 69436
Office
Unavailable
Facility
$135.22
No comparable office rate is available.
West Virginia
West Virginia · 69436
Office
Unavailable
Facility
$139.51
No comparable office rate is available.
Wyoming**
Wyoming · 69436
Office
Unavailable
Facility
$142.19
No comparable office rate is available.
See how rates vary across the country
69436 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.
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.
View all state and territory rates as a table
| State / territory | Rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
Where does this rate apply?
Redding is a Medicare payment area. Our Census mapping connects it to 32 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.
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 69436 in Redding. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$162.91
$148.10 × 110% = $162.91
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.
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 69436 in Redding.
PPRRVU2026_Oct_nonQPP.csv
7,606
- Code
- 69436
- Physician work
- 1.96
- Practice expense
- 2.09
- Malpractice
- 0.28
GPCI2026.csv
19
- Locality
- Redding
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.96 | × 1.017 | 1.9933 |
| Practice expense | 2.09 | × 1.096 | 2.2906 |
| Malpractice | 0.28 | × 0.536 | 0.1501 |
| Total RVUs | 4.4340 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Redding$148.10
Open 69436 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.96 | 1.017 |
| Practice expense | 2.09 | 1.096 |
| Malpractice | 0.28 | 0.536 |
(1.96 × 1.017 + 2.09 × 1.096 + 0.28 × 0.536) × $33.4009 = $148.10
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
69436 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
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
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 from | Office / nonfacility | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $148.10 | RVU26D |
| 2026-07-01 | Not available in this setting | $148.10 | RVU26C |
| 2026-04-01 | Not available in this setting | $148.10 | RVU26B |
| 2026-01-01 | Not available in this setting | $148.10 | RVU26A |
| 2025-10-01 | Not available in this setting | $161.33 | RVU25D |
| 2025-07-01 | Not available in this setting | $161.33 | RVU25C |
| 2025-04-01 | Not available in this setting | $161.33 | RVU25B |
| 2025-01-01 | Not available in this setting | $161.33 | RVU25A |
69436 billing questions
How does this differ from 69433?
Both include placement of a ventilating tube. This code is for the procedure under general anesthesia; 69433 is used when it is performed under local or topical anesthesia.
Can this code be reported when no tube is placed?
No. This service includes tube placement. A myringotomy without a tube is represented by a different code, selected according to the anesthesia circumstance.
How is bilateral treatment reported?
Use modifier 50 for bilateral treatment. CMS pays the bilateral procedure at 150%.
Are related postoperative visits separately payable during the global period?
Related postoperative visits during the 10-day global period are included in the procedure payment.
Can an assistant or co-surgeon be billed?
An assistant at surgery is not paid for this service. Co-surgeons and team surgery are not permitted.
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.
7,60369421,,Incision of eardrum,A,,1.74,2.14,NA,2.14,,0.25,4.13,4.13,0,010,0.10,0.80,0.10,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,60469424,,Remove ventilating tube,A,,0.83,2.98,,0.74,,0.09,3.90,1.66,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,60569433,,Create eardrum opening,A,,1.53,4.32,,1.84,,0.21,6.06,3.58,0,010,0.10,0.80,0.10,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,60669436,,Create eardrum opening,A,,1.96,2.09,NA,2.09,,0.28,4.33,4.33,0,010,0.10,0.80,0.10,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,60769440,,Exploration of middle ear,A,,7.52,10.06,NA,10.06,,1.11,18.69,18.69,0,090,0.07,0.79,0.14,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,60869450,,Eardrum revision,A,,5.55,8.52,NA,8.52,,0.81,14.88,14.88,0,090,0.07,0.79,0.14,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,60969501,,Mastoidectomy,A,,8.98,8.74,NA,8.74,,1.31,19.03,19.03,0,090,0.07,0.79,0.14,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1601112,CA,60,MODESTO,1.017,1.096,0.536
1701112,CA,51,NAPA,1.063,1.318,0.508
1801182,CA,17,OXNARD-THOUSAND OAKS-VENTURA,1.028,1.182,0.623
1901112,CA,61,REDDING,1.017,1.096,0.536
2001112,CA,62,RIVERSIDE-SAN BERNARDINO-ONTARIO,1.018,1.096,0.853
2101112,CA,63,SACRAMENTO-ROSEVILLE-FOLSOM,1.036,1.163,0.536
2201112,CA,64,SALINAS,1.031,1.159,0.536