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Revision Mastoid Surgery With Eardrum Reconstruction

Illinois 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?

$1,820

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $1,820 for this service. The price depends on where it is billed: about $1,230 from a physician practice, and about $3,890 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 6 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$1,230$1,023 to $1,950
FacilityA hospital or hospital-owned outpatient department$3,890$1,995 to $7,586

How much rates vary

Facilitymedian $3,890 · 10th to 90th $1,148 to $13,804Professionalmedian $1,230 · 10th to 90th $977 to $2,951
$200$500$1K$2K$5K$10K$20Kfacility $3,890professional $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
$1,023.29
Median
$3,235.94
Typical High
$12,882.50
Aetna
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$1,122.02
Typical High
$2,570.40
BCBS
Setting
Facility
Modifier
Global
Typical Low
$5,370.32
Median
$8,511.38
Typical High
$20,892.96
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,202.26
Median
$1,621.81
Typical High
$2,754.23
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,630.27
Median
$4,677.35
Typical High
$5,248.07
Cigna
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$1,479.11
Typical High
$2,238.72
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$1,122.02
Median
$1,778.28
Typical High
$4,897.79
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$1,318.26
Median
$1,380.38
Typical High
$1,513.56
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$2,570.40
Median
$5,370.32
Typical High
$12,882.50
United
Setting
Professional
Modifier
Global
Typical Low
$1,071.52
Median
$1,445.44
Typical High
$2,398.83

Where Illinois 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.

Illinois· 26th of 51

$1,820

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.