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Removal of a Soft Tissue Growth in the Ear Canal

Delaware rates for HCPCS 69540

Surgical removal of a soft tissue lesion — such as a cyst, polyp, or other growth — located in the external ear canal. The surgeon removes the growth, usually working through the ear canal itself without an outside incision, and the tissue may be sent to a lab for examination. It is used when a growth is causing blockage, discharge, hearing changes, or discomfort, or when the diagnosis needs to be confirmed.

Rates data updated October 2026.

How much does Removal of a Soft Tissue Growth in the Ear Canal cost?

$214

Typical negotiated rate. In Delaware, October 2026.

Insurers have agreed to pay about $214 for this service. The price depends on where it is billed: about $200 from a physician practice, and about $589 from a hospital or other facility.

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 3 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$200$141 to $234
FacilityA hospital or hospital-owned outpatient department$589$282 to $851

How much rates vary

Facilitymedian $589 · 10th to 90th $204 to $2,399Professionalmedian $200 · 10th to 90th $123 to $302
$100$200$500$1K$2K$5Kfacility $589professional $200

Distribution of negotiated rates across all payers (price axis is log-scale). 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
None
Typical Low
$141.25
Median
$234.42
Typical High
$7,244.36
Aetna
Setting
Professional
Modifier
None
Typical Low
$128.82
Median
$190.55
Typical High
$234.42
Cigna
Setting
Facility
Modifier
None
Typical Low
$181.97
Median
$263.03
Typical High
$2,137.96
Cigna
Setting
Professional
Modifier
None
Typical Low
$123.03
Median
$199.53
Typical High
$323.59
United
Setting
Facility
Modifier
None
Typical Low
$416.87
Median
$616.60
Typical High
$2,398.83
United
Setting
Professional
Modifier
None
Typical Low
$123.03
Median
$186.21
Typical High
$302.00
6 more rates with less common billing modifiers

A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.

Insurance Carrier
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$64.57
Median
$70.79
Typical High
$117.49
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$25.70
Median
$28.18
Typical High
$46.77
Aetna
Setting
Professional
Modifier
54 · Surgery only
Typical Low
$95.50
Median
$104.71
Typical High
$173.78
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$19.05
Median
$21.38
Typical High
$34.67
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$12.88
Median
$14.13
Typical High
$23.44
Aetna
Setting
Professional
Modifier
78 · Unplanned return to OR
Typical Low
$89.13
Median
$97.72
Typical High
$162.18

Where Delaware sits

The same service costs 3.9 times more in Oklahoma 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.

Delaware· 41st of 51

$214

OK $646KY $166

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.