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Removal of a Soft Tissue Growth in the Ear Canal

Illinois 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 July 2026.

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

$229

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $229 for this service. The price depends on where it is billed: about $200 from a physician practice, and about $1,585 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 6 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$200$145 to $295
FacilityA hospital or hospital-owned outpatient department$1,585$603 to $3,236

How much rates vary

Facilitymedian $1,585 · 10th to 90th $186 to $5,370Professionalmedian $200 · 10th to 90th $117 to $398
$100$200$500$1K$2K$5K$10Kfacility $1,585professional $200

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
$186.21
Median
$1,479.11
Typical High
$5,623.41
Aetna
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$194.98
Typical High
$398.11
BCBS
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$2,238.72
Typical High
$2,884.03
BCBS
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$245.47
Typical High
$380.19
Cigna
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$218.78
Typical High
$371.54
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$295.12
Typical High
$602.56
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$158.49
Typical High
$275.42
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$1,174.90
Median
$2,137.96
Typical High
$4,365.16
United
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$213.80
Typical High
$371.54

Where Illinois sits

The same service costs 9.1 times more in Oklahoma than in Rhode Island. 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.

Illinois· 32nd of 51

$229

OK $1,698RI $186

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.