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Revision Mastoid Surgery With Eardrum Reconstruction

Maine 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?

$1,445

Typical physician fee. In Maine, July 2026.

Insurers have agreed to pay about $1,445 for this service. Most negotiated rates run $1,230 to $1,698.

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.

How much rates vary

Facilitymedian $12,023 · 10th to 90th $12,023 to $12,023Professionalmedian $1,445 · 10th to 90th $1,072 to $2,188
$1K$2K$5K$10Kfacility $12,023professional $1,445

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,071.52
Median
$1,071.52
Typical High
$1,288.25
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$1,621.81
Typical High
$2,187.76
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,230.27
Median
$1,445.44
Typical High
$2,511.89
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$1,230.27
Median
$1,479.11
Typical High
$2,454.71
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$1,071.52
Median
$1,071.52
Typical High
$1,288.25
United
Setting
Facility
Modifier
Global
Typical Low
$12,022.64
Median
$12,022.64
Typical High
$12,022.64
United
Setting
Professional
Modifier
Global
Typical Low
$1,230.27
Median
$1,584.89
Typical High
$2,754.23

Where Maine 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.

Maine· 41st of 51

$1,445

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.