$2,371.69
This is the unilateral sibling. Choose 69705 for dilation of one eustachian tube and 69706 for dilation of both.
On this page
CMS RVU26D · Effective 2026-10-01
69706 Eustachian tube dilation Medicare reimbursement rates in Nebraska
Reports endoscopic dilation of both eustachian tubes, typically by balloon, to treat obstructive eustachian tube dysfunction. Compare 69706 office and facility rates across CMS payment localities in Nebraska.
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.
What does Medicare pay for 69706 in Nebraska?
Nebraska has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
$2455.62
1 of 1 localities have a supported rate.
Payment area: Nebraska
One mapped payment locality.
Facility setting
$189.38
1 of 1 localities have a supported rate.
Payment area: Nebraska
One mapped payment locality.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
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 Nebraska, from the same CMS release.
No office rate
69436 places a ventilation tube through the tympanic membrane, while 69706 dilates both eustachian tubes endoscopically through the nose.
$107.77
92511 is diagnostic nasopharyngoscopy. It does not represent surgical dilation of both eustachian tubes.
Compare 69706 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
1 of 1 payment localities
Nebraska →
Office / nonfacility
$2455.62
Facility
$189.38
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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 Nebraska.
PPRRVU2026_Oct_nonQPP.csv
7,647
- Code
- 69706
- Physician work
- 4.16
- Practice expense
- 74.90
- Malpractice
- 0.60
GPCI2026.csv
72
- Locality
- Nebraska
- Physician work
- 1.000
- Practice expense
- 0.923
- Malpractice
- 0.378
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 4.16 | × 1.000 | 4.1600 |
| Practice expense | 74.90 | × 0.923 | 69.1327 |
| Malpractice | 0.60 | × 0.378 | 0.2268 |
| Total RVUs | 73.5195 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Nebraska$2455.62
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 4.16 | 1 |
| Practice expense | 74.9 | 0.923 |
| Malpractice | 0.6 | 0.378 |
(4.16 × 1 + 74.9 × 0.923 + 0.6 × 0.378) × $33.4009 = $2455.62
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 4.16 | 1 |
| Practice expense | 1.39 | 0.923 |
| Malpractice | 0.6 | 0.378 |
(4.16 × 1 + 1.39 × 0.923 + 0.6 × 0.378) × $33.4009 = $189.38
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.
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.
7,64469676,,Remove middle ear nerve,A,,9.45,11.55,NA,11.55,,1.36,22.36,22.36,0,090,0.07,0.79,0.14,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,64569700,,Close mastoid fistula,A,,8.16,8.54,NA,8.54,,1.21,17.91,17.91,0,090,0.07,0.79,0.14,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,64669705,,Nps surg dilat eust tube uni,A,,2.93,73.58,,1.08,,0.43,76.94,4.44,0,000,0.00,0.00,0.00,3,0,0,0,0,9,31231,33.4009,09,0,99,0.00,0.00,0.00
7,64769706,,Nps surg dilat eust tube bi,A,,4.16,74.90,,1.39,,0.60,79.66,6.15,0,000,0.00,0.00,0.00,3,2,0,0,0,9,31231,33.4009,09,0,99,0.00,0.00,0.00
7,64869710,,Implant/replace hearing aid,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
7,64969711,,Remove/repair hearing aid,A,,10.35,10.60,NA,10.60,,1.50,22.45,22.45,0,090,0.07,0.79,0.14,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,65069714,,Impl oi implt skull perq esp,A,,6.51,5.63,NA,5.63,,0.96,13.10,13.10,0,090,0.07,0.79,0.14,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6905302,MO,01,METROPOLITAN ST. LOUIS,1.000,0.952,1.002
7005302,MO,99,REST OF MISSOURI,1.000,0.862,0.974
7103202,MT,01,MONTANA**,1.000,1.000,0.998
7205402,NE,00,NEBRASKA,1.000,0.923,0.378
7301312,NV,00,NEVADA**,1.000,1.001,0.833
7414312,NH,40,NEW HAMPSHIRE,1.000,1.041,0.875
7512402,NJ,01,NORTHERN NJ,1.063,1.160,1.068