CPT 69540 Surgery - Auditory
Excision aural polyp Cost
Body System: Auditory
Medicare Facility Rate
$120
CMS PFS CY2026
Medicare Non-Facility Rate
$210
Office/clinic setting
Hospital Outpatient
$1
OPPS rate
Surgery Center (ASC)
$164
ASC rate
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
1.22
Work RVU
2.20
Facility PE RVU
0.18
Malpractice RVU
6.29
Total RVU
Frequently Asked Questions
How much does Excision aural polyp cost?
The Medicare facility rate is $120. Commercial insurance typically pays 150-250% of Medicare rates (varies). Hospital outpatient rate: $1. Ambulatory surgery center rate: $164.
How much does Excision aural polyp cost without insurance?
Without insurance, you may pay the hospital's chargemaster rate, which is often 300-500% of Medicare. Ask about cash-pay discounts — many facilities offer 20-40% off for self-pay patients. The Medicare baseline for this procedure is $120.