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Revision Mastoid Surgery With Eardrum Reconstruction

Iowa 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?

$2,754

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $2,754 for this service. The price depends on where it is billed: about $1,820 from a physician practice, and about $7,079 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 7 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$1,820$1,380 to $3,090
FacilityA hospital or hospital-owned outpatient department$7,079$5,370 to $9,120

How much rates vary

Facilitymedian $7,079 · 10th to 90th $1,820 to $13,490Professionalmedian $1,820 · 10th to 90th $1,047 to $7,079
$1K$2K$5K$10Kfacility $7,079professional $1,820

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
$1,819.70
Median
$6,918.31
Typical High
$11,481.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,047.13
Median
$1,819.70
Typical High
$7,079.46
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,187.76
Median
$2,570.40
Typical High
$3,235.94
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$1,819.70
Typical High
$4,168.69
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,862.09
Median
$5,370.32
Typical High
$16,218.10
Medica
Setting
Professional
Modifier
Global
Typical Low
$1,258.93
Median
$2,187.76
Typical High
$8,317.64
Midlands
Setting
Professional
Modifier
Global
Typical Low
$2,398.83
Median
$2,630.27
Typical High
$3,801.89
Midlands
Setting
Professional
Modifier
Global
Typical Low
$2,187.76
Median
$3,019.95
Typical High
$3,467.37
United
Setting
Facility
Modifier
Global
Typical Low
$7,413.10
Median
$10,715.19
Typical High
$15,488.17
United
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$1,778.28
Typical High
$3,311.31
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$1,548.82
Median
$1,949.84
Typical High
$2,344.23

Where Iowa 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.

Iowa· 10th of 51

$2,754

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.