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Revision Mastoid Surgery With Eardrum Reconstruction

Arizona rates for HCPCS 69604

This is a repeat surgery on the mastoid bone behind the ear that also reconstructs the eardrum, performed when an earlier mastoid surgery didn't fully resolve a persistent infection or hearing problem. Rebuilding the eardrum along with revising the mastoid cavity helps restore a closed, healthy middle ear and can improve hearing. It's a more extensive revision than a mastoid procedure alone.

Rates data updated July 2026.

How much does Revision Mastoid Surgery With Eardrum Reconstruction cost?

$1,738

Typical negotiated rate. In Arizona, July 2026.

Insurers have agreed to pay about $1,738 for this service. The price depends on where it is billed: about $1,148 from a physician practice, and about $5,370 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 5 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$1,148$1,023 to $1,585
FacilityA hospital or hospital-owned outpatient department$5,370$3,715 to $6,918

How much rates vary

Facilitymedian $5,370 · 10th to 90th $1,950 to $9,772Professionalmedian $1,148 · 10th to 90th $977 to $4,169
$1K$2K$5K$10Kfacility $5,370professional $1,148

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
$2,238.72
Median
$5,623.41
Typical High
$9,772.37
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$1,148.15
Typical High
$5,623.41
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,348.96
Median
$5,370.32
Typical High
$10,232.93
BCBS
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$1,023.29
Typical High
$4,265.80
Cigna
Setting
Facility
Modifier
Global
Typical Low
$5,370.32
Median
$5,370.32
Typical High
$5,370.32
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$1,348.96
Typical High
$2,344.23
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,071.52
Median
$1,698.24
Typical High
$8,128.31
Medica
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$1,318.26
Typical High
$8,317.64
United
Setting
Facility
Modifier
Global
Typical Low
$4,168.69
Median
$5,623.41
Typical High
$8,709.64
United
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$1,174.90
Typical High
$2,137.96

Where Arizona sits

The same service costs 7.6 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.

Arizona· 29th of 51

$1,738

CA $9,120DE $1,202

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.