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Revision Mastoid Surgery With Eardrum Reconstruction

Montana 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?

$1,950

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $1,950 for this service. The price depends on where it is billed: about $1,950 from a physician practice, and about $1,950 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$1,950$1,778 to $2,884
FacilityA hospital or hospital-owned outpatient department$1,950$1,905 to $2,089

How much rates vary

Facilitymedian $1,950 · 10th to 90th $1,778 to $16,596Professionalmedian $1,950 · 10th to 90th $1,148 to $6,166
$100$1K$10K$100Kfacility $1,950professional $1,950

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
Professional
Modifier
Global
Typical Low
$1,148.15
Median
$2,884.03
Typical High
$6,165.95
BCBS
Setting
Facility
Modifier
Global
Typical Low
$64,565.42
Median
$75,857.76
Typical High
$91,201.08
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,778.28
Median
$1,778.28
Typical High
$1,778.28
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,202.26
Median
$1,778.28
Typical High
$1,862.09
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$1,905.46
Median
$1,949.84
Typical High
$2,290.87
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$1,905.46
Median
$1,949.84
Typical High
$2,290.87
Providence
Setting
Facility
Modifier
Global
Typical Low
$977.24
Median
$1,584.89
Typical High
$2,089.30
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$1,202.26
Typical High
$2,511.89
United
Setting
Facility
Modifier
Global
Typical Low
$1,258.93
Median
$1,258.93
Typical High
$12,022.64
United
Setting
Professional
Modifier
Global
Typical Low
$1,479.11
Median
$1,862.09
Typical High
$2,691.53

Where Montana 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.

Montana· 17th of 51

$1,950

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.