Price AtlasInteractive atlas · All states · techysurgeon.comEar tubes (tympanostomy): what insurers pay
Tubes placed in the eardrums, under general anesthesia (69436) or local (69433). Commercial negotiated rates by hospital and market, next to Medicare for the same code.
Open the interactive explorerAll operations
CPT 69436: Ear Tubes (Tympanostomy)
1106 hospitals in 81 markets. National Medicare rate $1,585, surgery center $659.
| Market | Hospitals | 25th pct | Median | 75th pct | Low–high |
|---|---|---|---|---|---|
| Alabama (statewide) | 13 | $1,437 | $1,748 | $2,490 | $729–$3,146 |
| Alaska (statewide) | 3 | — | — | — | $2,305–$7,547 |
| Arizona (statewide) | 10 | $2,911 | $3,165 | $4,242 | $1,008–$6,458 |
| Arkansas (statewide) | 11 | $1,404 | $1,560 | $1,969 | $1,268–$2,435 |
| Atlanta GA | 6 | $4,800 | $4,975 | $4,975 | $4,670–$4,975 |
| Austin TX | 13 | $1,132 | $3,117 | $3,490 | $1,132–$4,120 |
| Boston MA | 12 | $2,376 | $2,614 | $2,842 | $1,473–$3,448 |
| California (statewide) | 56 | $3,192 | $4,703 | $5,606 | $1,552–$11,231 |
| Charlotte NC | 5 | $1,761 | $1,761 | $1,761 | $1,737–$1,761 |
| Chicago IL | 10 | $2,574 | $3,518 | $4,143 | $1,653–$5,161 |
| Cleveland OH | 11 | $2,668 | $3,136 | $3,778 | $2,453–$5,597 |
| Colorado (statewide) | 15 | $2,890 | $4,179 | $5,192 | $1,489–$6,520 |
| Columbus OH | 1 | — | — | — | $5,581–$5,581 |
| Connecticut (statewide) | 3 | — | — | — | $1,824–$12,064 |
| Dallas-Fort Worth TX | 12 | $3,216 | $3,378 | $3,989 | $2,818–$5,284 |
| Delaware (statewide) | 1 | — | — | — | $4,217–$4,217 |
| Denver CO | 15 | $2,571 | $4,179 | $4,682 | $1,551–$5,852 |
| Detroit MI | 17 | $2,172 | $2,253 | $2,999 | $1,137–$5,085 |
| Florida (statewide) | 60 | $2,820 | $3,446 | $3,818 | $959–$8,279 |
| Georgia (statewide) | 25 | $2,706 | $4,305 | $4,682 | $1,704–$9,576 |
| Hawaii (statewide) | 3 | — | — | — | $3,493–$4,338 |
| Houston TX | 18 | $2,645 | $2,804 | $3,417 | $2,226–$4,004 |
| Idaho (statewide) | 15 | $1,388 | $2,234 | $2,744 | $1,382–$4,621 |
| Illinois (statewide) | 29 | $2,208 | $2,833 | $3,622 | $862–$4,401 |
| Indiana (statewide) | 29 | $2,257 | $3,295 | $5,796 | $1,481–$8,220 |
| Indianapolis IN | 1 | — | — | — | $10,895–$10,895 |
| Iowa (statewide) | 23 | $2,052 | $2,672 | $3,281 | $1,585–$8,645 |
| Kansas (statewide) | 17 | $1,687 | $2,172 | $3,582 | $764–$7,547 |
| Kentucky (statewide) | 18 | $2,187 | $2,789 | $3,870 | $1,810–$5,566 |
| Las Vegas NV | 2 | — | — | — | $2,460–$3,010 |
| Los Angeles CA | 15 | $3,956 | $4,385 | $5,022 | $3,448–$13,680 |
| Louisiana (statewide) | 23 | $1,647 | $1,818 | $2,490 | $1,346–$4,358 |
| Maine (statewide) | 16 | $6,070 | $6,888 | $7,047 | $3,312–$8,860 |
| Maryland (statewide) | 1 | — | — | — | $2,996–$2,996 |
| Massachusetts (statewide) | 5 | $2,263 | $2,590 | $2,717 | $1,617–$3,468 |
| Miami-Fort Lauderdale FL | 1 | — | — | — | $2,766–$2,766 |
| Michigan (statewide) | 29 | $1,851 | $2,002 | $2,308 | $868–$4,716 |
| Minneapolis-St. Paul MN | 8 | $2,707 | $3,074 | $3,114 | $1,687–$3,358 |
| Minnesota (statewide) | 13 | $3,388 | $4,022 | $4,906 | $2,653–$6,740 |
| Mississippi (statewide) | 16 | $1,774 | $2,157 | $2,600 | $1,182–$4,283 |
| Missouri (statewide) | 18 | $2,557 | $3,015 | $4,748 | $1,360–$5,222 |
| Montana (statewide) | 4 | — | — | — | $3,066–$6,181 |
| Nashville TN | 8 | $3,000 | $3,316 | $3,508 | $1,869–$3,570 |
| Nebraska (statewide) | 11 | $2,912 | $8,458 | $8,645 | $2,274–$10,363 |
| Nevada (statewide) | 6 | $2,460 | $2,706 | $3,048 | $2,460–$4,044 |
| New Hampshire (statewide) | 6 | $3,026 | $4,420 | $6,343 | $2,619–$6,948 |
| New Jersey (statewide) | 15 | $2,883 | $3,282 | $3,763 | $1,719–$11,208 |
| New Mexico (statewide) | 7 | $2,936 | $4,875 | $6,484 | $1,563–$9,338 |
| New York (statewide) | 29 | $2,705 | $3,323 | $3,842 | $1,356–$8,670 |
| New York City | 7 | $2,710 | $2,713 | $6,137 | $2,703–$8,165 |
| North Carolina (statewide) | 4 | — | — | — | $1,728–$4,154 |
| North Dakota (statewide) | 5 | $2,693 | $3,355 | $3,484 | $2,563–$5,550 |
| Ohio (statewide) | 38 | $2,812 | $3,818 | $5,131 | $1,305–$6,350 |
| Oklahoma (statewide) | 14 | $1,654 | $2,968 | $3,317 | $1,150–$8,246 |
| Oregon (statewide) | 7 | $3,793 | $4,268 | $5,734 | $3,485–$7,096 |
| Pennsylvania (statewide) | 33 | $2,334 | $3,468 | $5,185 | $863–$8,103 |
| Philadelphia PA | 11 | $3,653 | $4,096 | $5,866 | $3,097–$11,208 |
| Phoenix AZ | 8 | $3,024 | $3,060 | $3,065 | $2,936–$3,065 |
| Pittsburgh PA | 8 | $2,078 | $2,338 | $3,067 | $1,827–$3,728 |
| Portland OR | 9 | $6,602 | $7,385 | $7,385 | $6,602–$8,245 |
| Rhode Island (statewide) | 3 | — | — | — | $4,099–$5,505 |
| Richmond VA | 3 | — | — | — | $4,432–$4,872 |
| Rio Grande Valley TX | 5 | $2,094 | $2,438 | $3,537 | $2,016–$3,724 |
| Salt Lake City UT | 9 | $1,762 | $1,784 | $1,784 | $1,388–$1,806 |
| San Antonio TX | 3 | — | — | — | $2,336–$2,928 |
| San Diego CA | 5 | $3,393 | $3,393 | $3,393 | $3,393–$3,436 |
| San Francisco Bay Area CA | 5 | $5,061 | $5,788 | $6,008 | $4,009–$13,980 |
| Seattle-Tacoma WA | 16 | $5,103 | $5,204 | $5,454 | $4,283–$6,747 |
| South Carolina (statewide) | 24 | $2,814 | $4,471 | $4,928 | $1,520–$8,667 |
| South Dakota (statewide) | 5 | $3,134 | $3,304 | $3,365 | $2,364–$7,924 |
| St. Louis MO | 4 | — | — | — | $1,576–$1,711 |
| Tampa FL | 6 | $3,578 | $3,578 | $3,578 | $2,676–$8,620 |
| Tennessee (statewide) | 21 | $2,054 | $2,060 | $3,162 | $1,410–$3,570 |
| Texas (statewide) | 76 | $2,163 | $2,923 | $3,441 | $943–$8,220 |
| Utah (statewide) | 5 | $1,388 | $1,532 | $1,784 | $1,388–$5,289 |
| Vermont (statewide) | 3 | — | — | — | $1,017–$1,582 |
| Virginia (statewide) | 19 | $4,894 | $5,202 | $5,370 | $2,968–$7,208 |
| Washington (statewide) | 11 | $4,240 | $4,498 | $5,737 | $1,571–$7,969 |
| Washington DC | 9 | $3,868 | $3,868 | $3,993 | $3,400–$4,504 |
| West Virginia (statewide) | 11 | $2,434 | $2,613 | $5,054 | $1,644–$10,330 |
| Wisconsin (statewide) | 34 | $3,094 | $3,337 | $5,124 | $1,547–$6,834 |
Lowest and highest 12 hospital medians
| Hospital | Market | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|---|
| Usa Health University Hospital | Alabama (statewide) | $729 | 0.5× | 1 | 2026-04-30 |
| Salina Surgical Hospital | Kansas (statewide) | $764 | 0.5× | 1 | 2026-01-15 |
| Thomas H Boyd Memorial Hospital | Illinois (statewide) | $862 | 0.5× | 2 | 2026-07-07 |
| Upmc Cole | Pennsylvania (statewide) | $863 | 0.6× | 1 | 2026-03-06 |
| Oaklawn Hospital | Michigan (statewide) | $868 | 0.6× | 2 | 2026-03-27 |
| Ennis Regional Medical Center | Texas (statewide) | $943 | 0.6× | 1 | 2026-04-01 |
| Jay Hospital | Florida (statewide) | $959 | 0.6× | 8 | 2025-12-23 |
| Gulf Breeze Hospital | Florida (statewide) | $968 | 0.6× | 8 | 2025-12-23 |
| Yuma Regional Medical Center | Arizona (statewide) | $1,008 | 0.6× | 2 | 2025-09-30 |
| University Of Vermont Medical Center | Vermont (statewide) | $1,017 | 0.6× | 1 | 2026-04-28 |
| Baptist Medical Center Jacksonville | Florida (statewide) | $1,061 | 0.7× | 2 | 2026-02-06 |
| Baptist Medical Center - Beaches | Florida (statewide) | $1,061 | 0.7× | 2 | 2026-02-06 |
| Los Alamos Medical Center | New Mexico (statewide) | $9,338 | 6.1× | 1 | 2026-07-10 |
| Coffee Regional Medical Center, Inc | Georgia (statewide) | $9,576 | 7.0× | 4 | 2026-06-05 |
| Valley Children'S Hospital | California (statewide) | $9,842 | 4.9× | 4 | 2026-04-01 |
| Logan Regional Medical Center | West Virginia (statewide) | $10,330 | 6.9× | 1 | 2026-04-01 |
| Chi Health Good Samaritan | Nebraska (statewide) | $10,363 | 6.4× | 6 | 2026-02-28 |
| Franciscan Health Indianapolis | Indianapolis IN | $10,895 | 6.6× | 1 | 2026-01-01 |
| Inspira Medical Center Vineland | New Jersey (statewide) | $11,208 | 6.4× | 1 | 2026-03-24 |
| Inspira Medical Center Mullica Hill | Philadelphia PA | $11,208 | 6.4× | 1 | 2026-03-24 |
| Saint Agnes Medical Center | California (statewide) | $11,231 | 5.6× | 20 | 2026-03-31 |
| Saint Francis Hospital & Medical Center | Connecticut (statewide) | $12,064 | 6.4× | 2 | 2026-03-31 |
| Cedars-Sinai Medical Center | Los Angeles CA | $13,680 | 6.8× | 2 | 2025-11-26 |
| Stanford Health Care | San Francisco Bay Area CA | $13,980 | 6.1× | 2 | 2026-04-01 |
Every hospital is on its state's page (linked in the market table) and in the interactive explorer.
CPT 69433: Ear Tubes (Tympanostomy)
990 hospitals in 78 markets. National Medicare rate $551, surgery center $145.
| Market | Hospitals | 25th pct | Median | 75th pct | Low–high |
|---|---|---|---|---|---|
| Alabama (statewide) | 11 | $478 | $816 | $944 | $268–$2,932 |
| Alaska (statewide) | 4 | — | — | — | $465–$3,854 |
| Arizona (statewide) | 5 | $1,214 | $1,859 | $2,554 | $543–$4,465 |
| Arkansas (statewide) | 6 | $507 | $714 | $928 | $486–$1,074 |
| Atlanta GA | 6 | $2,412 | $3,320 | $3,320 | $2,098–$3,320 |
| Austin TX | 13 | $506 | $1,034 | $2,455 | $494–$2,455 |
| Boston MA | 11 | $966 | $1,173 | $1,305 | $610–$1,459 |
| California (statewide) | 51 | $1,408 | $1,886 | $1,927 | $566–$4,419 |
| Charlotte NC | 5 | $605 | $605 | $605 | $597–$605 |
| Chicago IL | 10 | $716 | $1,430 | $1,910 | $490–$3,434 |
| Cleveland OH | 11 | $817 | $923 | $1,534 | $561–$2,346 |
| Colorado (statewide) | 13 | $1,515 | $1,902 | $2,238 | $461–$2,533 |
| Connecticut (statewide) | 2 | — | — | — | $389–$791 |
| Dallas-Fort Worth TX | 8 | $1,352 | $2,082 | $2,082 | $996–$2,287 |
| Denver CO | 15 | $1,515 | $1,967 | $2,076 | $1,254–$2,983 |
| Detroit MI | 12 | $466 | $1,136 | $1,136 | $394–$3,791 |
| Florida (statewide) | 60 | $1,506 | $1,951 | $2,258 | $514–$3,037 |
| Georgia (statewide) | 21 | $1,669 | $2,087 | $2,214 | $992–$3,320 |
| Hawaii (statewide) | 2 | — | — | — | $634–$664 |
| Houston TX | 18 | $1,380 | $2,015 | $2,167 | $765–$2,504 |
| Idaho (statewide) | 14 | $814 | $1,112 | $1,287 | $457–$1,667 |
| Illinois (statewide) | 29 | $818 | $1,047 | $1,618 | $550–$3,606 |
| Indiana (statewide) | 23 | $894 | $1,189 | $2,840 | $320–$4,500 |
| Indianapolis IN | 1 | — | — | — | $406–$406 |
| Iowa (statewide) | 26 | $306 | $572 | $976 | $268–$1,960 |
| Kansas (statewide) | 16 | $660 | $858 | $1,187 | $589–$3,273 |
| Kentucky (statewide) | 13 | $705 | $923 | $1,750 | $619–$3,545 |
| Las Vegas NV | 2 | — | — | — | $2,136–$2,531 |
| Los Angeles CA | 16 | $1,250 | $1,820 | $2,391 | $959–$3,380 |
| Louisiana (statewide) | 18 | $531 | $556 | $936 | $442–$1,476 |
| Maine (statewide) | 15 | $2,087 | $2,393 | $2,422 | $1,349–$3,046 |
| Massachusetts (statewide) | 5 | $726 | $1,013 | $1,244 | $681–$2,060 |
| Miami-Fort Lauderdale FL | 2 | — | — | — | $912–$1,458 |
| Michigan (statewide) | 18 | $476 | $508 | $578 | $302–$1,136 |
| Minneapolis-St. Paul MN | 6 | $930 | $943 | $1,092 | $905–$1,165 |
| Minnesota (statewide) | 11 | $1,348 | $1,662 | $1,822 | $905–$2,432 |
| Mississippi (statewide) | 9 | $545 | $596 | $962 | $323–$1,470 |
| Missouri (statewide) | 13 | $794 | $1,120 | $1,750 | $318–$1,772 |
| Montana (statewide) | 3 | — | — | — | $1,040–$1,491 |
| Nashville TN | 8 | $699 | $1,623 | $2,747 | $683–$2,747 |
| Nebraska (statewide) | 18 | $488 | $1,014 | $1,243 | $293–$2,604 |
| Nevada (statewide) | 3 | — | — | — | $2,531–$2,531 |
| New Hampshire (statewide) | 6 | $2,019 | $2,170 | $2,365 | $1,725–$2,518 |
| New Jersey (statewide) | 13 | $591 | $600 | $1,111 | $591–$2,086 |
| New Mexico (statewide) | 4 | — | — | — | $1,063–$2,259 |
| New York (statewide) | 30 | $795 | $1,121 | $1,658 | $535–$4,684 |
| New York City | 6 | $542 | $544 | $643 | $540–$2,004 |
| North Carolina (statewide) | 4 | — | — | — | $456–$1,430 |
| North Dakota (statewide) | 5 | $972 | $1,208 | $1,257 | $881–$2,024 |
| Ohio (statewide) | 36 | $794 | $1,261 | $1,632 | $318–$2,073 |
| Oklahoma (statewide) | 13 | $866 | $1,030 | $1,080 | $286–$2,086 |
| Oregon (statewide) | 9 | $1,016 | $1,305 | $1,812 | $442–$2,430 |
| Pennsylvania (statewide) | 23 | $1,166 | $1,459 | $2,013 | $579–$2,740 |
| Philadelphia PA | 9 | $1,631 | $1,717 | $1,887 | $1,471–$4,440 |
| Phoenix AZ | 8 | $2,064 | $2,309 | $2,569 | $2,064–$2,614 |
| Pittsburgh PA | 8 | $997 | $1,198 | $1,329 | $830–$1,964 |
| Portland OR | 9 | $2,238 | $2,318 | $2,318 | $2,238–$2,569 |
| Rhode Island (statewide) | 3 | — | — | — | $1,068–$2,392 |
| Richmond VA | 3 | — | — | — | $2,552–$2,651 |
| Rio Grande Valley TX | 3 | — | — | — | $919–$2,625 |
| Salt Lake City UT | 9 | $504 | $527 | $527 | $501–$534 |
| San Antonio TX | 3 | — | — | — | $813–$2,254 |
| San Diego CA | 5 | $1,214 | $1,214 | $1,214 | $1,194–$1,214 |
| San Francisco Bay Area CA | 4 | — | — | — | $1,732–$5,216 |
| Seattle-Tacoma WA | 16 | $1,724 | $1,836 | $1,858 | $1,425–$2,056 |
| South Carolina (statewide) | 17 | $1,302 | $1,704 | $2,004 | $949–$2,570 |
| South Dakota (statewide) | 4 | — | — | — | $290–$3,365 |
| Tampa FL | 6 | $1,506 | $1,506 | $1,506 | $1,070–$2,502 |
| Tennessee (statewide) | 23 | $740 | $1,191 | $1,335 | $673–$2,846 |
| Texas (statewide) | 64 | $894 | $996 | $1,987 | $385–$3,572 |
| Utah (statewide) | 6 | $501 | $514 | $1,511 | $480–$1,839 |
| Vermont (statewide) | 2 | — | — | — | $282–$293 |
| Virginia (statewide) | 16 | $1,786 | $2,284 | $2,367 | $1,400–$2,767 |
| Washington (statewide) | 13 | $1,434 | $1,570 | $1,714 | $567–$2,584 |
| Washington DC | 5 | $1,654 | $2,374 | $2,550 | $1,384–$2,555 |
| West Virginia (statewide) | 9 | $901 | $908 | $1,753 | $439–$2,062 |
| Wisconsin (statewide) | 41 | $716 | $1,852 | $1,967 | $340–$3,204 |
| Wyoming (statewide) | 2 | — | — | — | $304–$304 |
Lowest and highest 12 hospital medians
| Hospital | Market | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|---|
| Usa Health Children'S & Women'S Hospital | Alabama (statewide) | $268 | 0.6× | 2 | 2026-04-30 |
| Iowa Specialty Hospital - Belmond | Iowa (statewide) | $268 | 0.5× | 3 | 2026-04-22 |
| Iowa Specialty Hospital - Clarion | Iowa (statewide) | $268 | 0.5× | 3 | 2026-06-11 |
| Southwestern Vermont Medical Center | Vermont (statewide) | $282 | 0.5× | 3 | 2025-01-01 |
| Waverly Health Center | Iowa (statewide) | $284 | 0.6× | 2 | 2026-03-03 |
| Ascension St John Nowata | Oklahoma (statewide) | $286 | 0.6× | 1 | 2026-01-01 |
| Clarinda Regional Health Center | Iowa (statewide) | $288 | 0.6× | 3 | 2026-07-13 |
| Huron Regional Medical Center | South Dakota (statewide) | $290 | 0.5× | 1 | 2026-03-31 |
| Chi Health - Mercy Corning | Iowa (statewide) | $293 | 0.6× | 10 | 2026-02-28 |
| Chi Health Missouri Valley | Iowa (statewide) | $293 | 0.5× | 10 | 2026-02-28 |
| Chi Health Schuyler | Nebraska (statewide) | $293 | 0.5× | 11 | 2026-02-28 |
| Chi Health Plainview | Nebraska (statewide) | $293 | 0.5× | 11 | 2026-02-28 |
| Riverside Community Hospital | California (statewide) | $3,658 | 5.3× | 6 | 2026-09-01 |
| Harper University Hospital | Detroit MI | $3,791 | 7.1× | 1 | 2026-09-02 |
| Huron Valley-Sinai Hospital | Detroit MI | $3,791 | 7.1× | 1 | 2026-05-20 |
| Parkview Lagrange Hospital | Indiana (statewide) | $3,818 | 6.7× | 1 | 2026-09-01 |
| Alaska Regional Hospital | Alaska (statewide) | $3,854 | 6.4× | 1 | 2026-09-01 |
| Good Samaritan Hospital | San Francisco Bay Area CA | $3,859 | 4.9× | 5 | 2026-09-01 |
| Los Robles Hospital & Medical Center | California (statewide) | $4,419 | 6.4× | 1 | 2026-09-01 |
| Jefferson Stratford Hospital | Philadelphia PA | $4,440 | 7.3× | 1 | 2026-09-15 |
| Cobre Valley Regional Medical Center | Arizona (statewide) | $4,465 | 7.8× | 3 | 2026-06-29 |
| Schneck Medical Center | Indiana (statewide) | $4,500 | 7.9× | 1 | 2024-01-24 |
| Stony Brook University Hospital | New York (statewide) | $4,684 | 7.0× | 4 | 2026-06-10 |
| Stanford Health Care | San Francisco Bay Area CA | $5,216 | 6.6× | 1 | 2026-04-01 |
Every hospital is on its state's page (linked in the market table) and in the interactive explorer.
Questions
How much do commercial insurers pay hospitals for ear tubes (tympanostomy)?
Across 1106 hospitals in 81 markets (metro areas and statewide) that post a usable dollar rate, the median commercial rate for CPT 69436, hospital outpatient is $3,223, 2.0× the same hospital's local Medicare base rate. The middle half of hospitals runs $2,253 to $4,465. Figures are each hospital's median across insurers, from its federal price-transparency file.
What does Medicare pay for ear tubes (tympanostomy)?
Medicare's national hospital outpatient rate for CPT 69436 is $1,585 and its surgery-center rate is $659, before local wage adjustment.
Which hospitals post the lowest and highest commercial rates for ear tubes (tympanostomy)?
Lowest medians: Usa Health University Hospital ($729), Salina Surgical Hospital ($764), Thomas H Boyd Memorial Hospital ($862). Highest: Stanford Health Care ($13,980), Cedars-Sinai Medical Center ($13,680), Saint Francis Hospital & Medical Center ($12,064). Coverage: every hospital whose price file we could read.