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Revision Mastoid Surgery With Eardrum Reconstruction

Idaho 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?

$1,862

Typical negotiated rate. In Idaho, July 2026.

Insurers have agreed to pay about $1,862 for this service. The price depends on where it is billed: about $1,660 from a physician practice, and about $4,786 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$1,660$1,514 to $1,995
FacilityA hospital or hospital-owned outpatient department$4,786$2,344 to $11,220

How much rates vary

Facilitymedian $4,786 · 10th to 90th $1,413 to $15,136Professionalmedian $1,660 · 10th to 90th $1,096 to $2,188
$1K$2K$5K$10K$20Kfacility $4,786professional $1,660

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
$4,466.84
Median
$4,786.30
Typical High
$6,918.31
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,148.15
Median
$1,659.59
Typical High
$1,995.26
BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,162.28
Median
$6,918.31
Typical High
$15,135.61
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,819.70
Median
$2,137.96
Typical High
$2,187.76
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,258.93
Median
$1,621.81
Typical High
$2,137.96
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$1,148.15
Median
$1,659.59
Typical High
$2,511.89
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$1,862.09
Typical High
$2,290.87
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$9,772.37
Median
$13,182.57
Typical High
$19,054.61
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$1,548.82
Median
$1,778.28
Typical High
$1,862.09
Select Health
Setting
Facility
Modifier
Global
Typical Low
$912.01
Median
$7,943.28
Typical High
$12,882.50
Select Health
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$912.01
Typical High
$1,230.27
United
Setting
Facility
Modifier
Global
Typical Low
$10,232.93
Median
$22,387.21
Typical High
$27,542.29
United
Setting
Professional
Modifier
Global
Typical Low
$1,071.52
Median
$1,513.56
Typical High
$2,290.87

Where Idaho 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.

Idaho· 25th of 51

$1,862

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.