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Middle Ear Exploration Through Ear Canal

Hawaii rates for HCPCS 69440

A surgeon reaches the middle ear through a small incision in the ear canal or behind the ear, then lifts the eardrum aside without cutting through it to view the small bones and structures of the middle ear directly, checking for damage, fluid, or other abnormalities. A small tissue sample can be taken during the same visit if something suspicious is found. This approach gives a much closer view than what can be seen from outside the ear alone.

Rates data updated July 2026.

How much does Middle Ear Exploration Through Ear Canal cost?

$2,570

Typical physician fee. In Hawaii, July 2026.

Insurers have agreed to pay about $2,570 for this service. Most negotiated rates run $1,122 to $5,370.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $4,467 · 10th to 90th $1,318 to $4,467Professionalmedian $2,570 · 10th to 90th $603 to $6,166
$50$100$200$500$1K$2K$5Kfacility $4,467professional $2,570

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
$1,318.26
Median
$4,466.84
Typical High
$4,466.84
Aetna
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$602.56
Typical High
$758.58
Cigna
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$812.83
Typical High
$891.25
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$794.33
Typical High
$977.24
United
Setting
Facility
Modifier
Global
Typical Low
$2,041.74
Median
$2,041.74
Typical High
$2,041.74
United
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$794.33
Typical High
$1,023.29
University Health Alliance
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$3,235.94
Typical High
$6,165.95

Where Hawaii sits

The same service costs 7.4 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.

Hawaii· 5th of 51

$2,570

CA $5,129DE $692

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.