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Simple Cleaning Of A Mastoid Surgical Cavity

North Carolina rates for HCPCS 69220

This is the cleaning out of debris, wax, or discharge from a cavity left behind after prior ear or mastoid bone surgery, done as a straightforward office procedure. Regular cleaning of this type of cavity helps prevent infection and keeps it healthy since it doesn't drain and self-clean the way a normal ear canal does. It's typically quick and doesn't require anesthesia beyond what's needed for comfort.

Rates data updated July 2026.

How much does Simple Cleaning Of A Mastoid Surgical Cavity cost?

$112

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $112 for this service. The price depends on where it is billed: about $105 from a physician practice, and about $138 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 7 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$105$72.44 to $178
FacilityA hospital or hospital-owned outpatient department$138$81.28 to $407

How much rates vary

Facilitymedian $138 · 10th to 90th $55 to $1,862Professionalmedian $105 · 10th to 90th $51 to $240
$50$100$200$500$1K$2K$5Kfacility $138professional $105

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$186.21
Typical High
$6,918.31
Aetna
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$97.72
Typical High
$229.09
Aetna
Setting
Professional
Modifier
50 · Both sides
Typical Low
$213.80
Median
$338.84
Typical High
$338.84
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$64.57
Typical High
$154.88
Ambetter
Setting
Professional
Modifier
50 · Both sides
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
BCBS
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$169.82
Typical High
$295.12
Cigna
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$112.20
Typical High
$218.78
Medcost
Setting
Facility
Modifier
Global
Typical Low
$48.98
Median
$87.10
Typical High
$213.80
Medcost
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$60.26
Typical High
$199.53
United
Setting
Facility
Modifier
Global
Typical Low
$363.08
Median
$891.25
Typical High
$2,089.30
United
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$95.50
Typical High
$194.98
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$3,019.95
Typical High
$3,019.95
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$676.08
Typical High
$676.08

Where North Carolina sits

The same service costs 2.9 times more in California than in Kentucky. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

North Carolina· 19th of 51

$112

CA $219KY $75.86

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.