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Eardrum Incision And Drainage Under General Anesthesia

Rhode Island rates for HCPCS 69421

A small incision is made in the eardrum to drain fluid trapped in the middle ear and, if needed, to inflate the eustachian tube, while the patient is under general anesthesia. This version is used when general anesthesia is required to safely perform the procedure, most often in young children.

Rates data updated July 2026.

How much does Eardrum Incision And Drainage Under General Anesthesia cost?

$182

Typical physician fee. In Rhode Island, July 2026.

Insurers have agreed to pay about $182 for this service. Most negotiated rates run $129 to $219.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $3,715 · 10th to 90th $1,862 to $6,166Professionalmedian $166 · 10th to 90th $129 to $251
$100$200$500$1K$2K$5Kfacility $3,715professional $166

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$2,398.83
Median
$3,235.94
Typical High
$3,981.07
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$1,230.27
Median
$1,230.27
Typical High
$1,819.70
Aetna
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$128.82
Typical High
$181.97
BCBS
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$181.97
Typical High
$302.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$229.09
Typical High
$338.84
United
Setting
Facility
Modifier
Global
Typical Low
$1,819.70
Median
$4,073.80
Typical High
$6,456.54
United
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$169.82
Typical High
$288.40

Where Rhode Island sits

The same service costs 18.2 times more in California than in Delaware. 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.

Rhode Island· 46th of 51

$182

CA $2,951DE $162

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.