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Revision Mastoid Surgery With Eardrum Reconstruction

Connecticut 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?

$2,455

Typical negotiated rate. In Connecticut, July 2026.

Insurers have agreed to pay about $2,455 for this service. The price depends on where it is billed: about $1,778 from a physician practice, and about $9,550 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$1,778$1,202 to $2,512
FacilityA hospital or hospital-owned outpatient department$9,550$7,762 to $15,136

How much rates vary

Facilitymedian $9,550 · 10th to 90th $4,898 to $16,218Professionalmedian $1,778 · 10th to 90th $1,047 to $2,951
$1K$2K$5K$10Kfacility $9,550professional $1,778

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
$4,677.35
Median
$9,549.93
Typical High
$16,218.10
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,584.89
Typical High
$2,951.21
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$8,317.64
Median
$15,135.61
Typical High
$16,595.87
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,047.13
Median
$2,137.96
Typical High
$2,754.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,380.38
Median
$1,862.09
Typical High
$3,019.95
ConnectiCare
Setting
Professional
Modifier
Global
Typical Low
$1,949.84
Median
$1,949.84
Typical High
$1,995.26
United
Setting
Facility
Modifier
Global
Typical Low
$6,456.54
Median
$10,471.29
Typical High
$16,218.10
United
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$1,584.89
Typical High
$3,019.95

Where Connecticut 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.

Connecticut· 13th of 51

$2,455

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.