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Revision Mastoid Surgery With Eardrum Reconstruction

Massachusetts 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 Massachusetts, July 2026.

Insurers have agreed to pay about $1,820 for this service. The price depends on where it is billed: about $1,413 from a physician practice, and about $3,715 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$1,413$1,096 to $2,455
FacilityA hospital or hospital-owned outpatient department$3,715$3,090 to $5,623

How much rates vary

Facilitymedian $3,715 · 10th to 90th $1,318 to $9,333Professionalmedian $1,413 · 10th to 90th $1,000 to $3,236
$1K$2K$5K$10K$20Kfacility $3,715professional $1,413

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
$2,691.53
Median
$3,715.35
Typical High
$8,317.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,047.13
Typical High
$3,235.94
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$2,691.53
Median
$7,079.46
Typical High
$16,982.44
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$1,584.89
Typical High
$8,511.38
BCBS
Setting
Professional
Modifier
Global
Typical Low
$2,238.72
Median
$2,238.72
Typical High
$2,238.72
Cigna
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$1,862.09
Typical High
$3,311.31
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$1,096.48
Median
$1,479.11
Typical High
$5,248.07
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$1,122.02
Median
$1,380.38
Typical High
$1,905.46
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$3,019.95
Median
$6,165.95
Typical High
$13,182.57
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,819.70
Typical High
$3,090.30
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$2,691.53
Median
$7,079.46
Typical High
$16,982.44
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$1,584.89
Typical High
$8,511.38
United
Setting
Facility
Modifier
Global
Typical Low
$2,511.89
Median
$6,309.57
Typical High
$13,803.84
United
Setting
Professional
Modifier
Global
Typical Low
$1,202.26
Median
$2,041.74
Typical High
$3,801.89

Where Massachusetts 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.

Massachusetts· 28th 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.