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Removal of a Soft Tissue Growth in the Ear Canal

Virginia 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 Virginia, July 2026.

Insurers have agreed to pay about $229 for this service. The price depends on where it is billed: about $209 from a physician practice, and about $2,399 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 8 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$209$145 to $257
FacilityA hospital or hospital-owned outpatient department$2,399$209 to $4,365

How much rates vary

Facilitymedian $2,399 · 10th to 90th $141 to $7,079Professionalmedian $209 · 10th to 90th $126 to $417
$100$200$500$1K$2K$5K$10Kfacility $2,399professional $209

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
$229.09
Median
$3,630.78
Typical High
$7,244.36
Aetna
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$199.53
Typical High
$1,096.48
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,090.30
Median
$3,981.07
Typical High
$4,466.84
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$218.78
Typical High
$346.74
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$223.87
Typical High
$3,548.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$218.78
Typical High
$389.05
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$245.47
Typical High
$660.69
Medcost
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$288.40
Typical High
$512.86
Medcost
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$229.09
Typical High
$389.05
Sentara
Setting
Facility
Modifier
Global
Typical Low
$117.49
Median
$169.82
Typical High
$4,073.80
Sentara
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$275.42
Typical High
$4,073.80
United
Setting
Facility
Modifier
Global
Typical Low
$1,737.80
Median
$3,311.31
Typical High
$5,754.40
United
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$199.53
Typical High
$354.81

Where Virginia 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.

Virginia· 29th 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.