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Revision Mastoid Surgery With Eardrum Reconstruction

Washington, DC 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?

$1,230

Typical physician fee. In Washington, DC, July 2026.

Insurers have agreed to pay about $1,230 for this service. Most negotiated rates run $1,230 to $7,244.

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.

How much rates vary

Facilitymedian $7,762 · 10th to 90th $1,230 to $10,233Professionalmedian $1,230 · 10th to 90th $1,175 to $2,570
$1K$2K$5K$10K$20Kfacility $7,762professional $1,230

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
$1,230.27
Median
$7,244.36
Typical High
$10,232.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,174.90
Median
$1,230.27
Typical High
$1,230.27
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$1,548.82
Median
$7,244.36
Typical High
$15,135.61
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$1,445.44
Typical High
$2,951.21
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$1,047.13
Median
$2,290.87
Typical High
$2,570.40
United
Setting
Facility
Modifier
Global
Typical Low
$4,073.80
Median
$13,182.57
Typical High
$34,673.69
United
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$1,621.81
Typical High
$2,951.21

Where Washington, DC 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.

Washington, DC· 49th of 51

$1,230

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.