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Revision Mastoid Surgery With Eardrum Reconstruction

Indiana 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?

$1,905

Typical negotiated rate. In Indiana, July 2026.

Insurers have agreed to pay about $1,905 for this service. The price depends on where it is billed: about $1,096 from a physician practice, and about $15,136 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$1,096$1,023 to $1,413
FacilityA hospital or hospital-owned outpatient department$15,136$8,318 to $21,878

How much rates vary

Facilitymedian $15,136 · 10th to 90th $2,754 to $25,704Professionalmedian $1,096 · 10th to 90th $933 to $1,862
$1K$2K$5K$10K$20Kfacility $15,136professional $1,096

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
$1,584.89
Median
$4,897.79
Typical High
$17,378.01
Aetna
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$1,023.29
Typical High
$1,412.54
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$5,623.41
Median
$15,488.17
Typical High
$25,703.96
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,071.52
Median
$1,348.96
Typical High
$2,089.30
CareSource
Setting
Facility
Modifier
Global
Typical Low
$1,071.52
Median
$1,096.48
Typical High
$1,258.93
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,148.15
Median
$1,819.70
Typical High
$2,344.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,380.38
Typical High
$2,454.71
United
Setting
Facility
Modifier
Global
Typical Low
$4,365.16
Median
$9,549.93
Typical High
$16,218.10
United
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$1,230.27
Typical High
$1,995.26

Where Indiana 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.

Indiana· 21st of 51

$1,905

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.