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Revision Mastoid Surgery With Eardrum Reconstruction

North Carolina 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?

$1,660

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $1,660 for this service. The price depends on where it is billed: about $1,514 from a physician practice, and about $3,467 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$1,514$1,096 to $2,188
FacilityA hospital or hospital-owned outpatient department$3,467$1,585 to $10,000

How much rates vary

Facilitymedian $3,467 · 10th to 90th $1,096 to $14,791Professionalmedian $1,514 · 10th to 90th $1,096 to $3,090
$1K$2K$5K$10K$20Kfacility $3,467professional $1,514

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
$1,096.48
Median
$4,168.69
Typical High
$14,454.40
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,047.13
Median
$1,230.27
Typical High
$3,019.95
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,318.26
Median
$1,905.46
Typical High
$2,884.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,202.26
Median
$1,698.24
Typical High
$2,754.23
Medcost
Setting
Facility
Modifier
Global
Typical Low
$1,096.48
Median
$1,445.44
Typical High
$2,238.72
Medcost
Setting
Professional
Modifier
Global
Typical Low
$1,412.54
Median
$1,412.54
Typical High
$2,818.38
United
Setting
Facility
Modifier
Global
Typical Low
$6,025.60
Median
$11,748.98
Typical High
$23,988.33
United
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,348.96
Typical High
$2,570.40
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$16,982.44
Median
$16,982.44
Typical High
$33,884.42
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$8,511.38
Median
$8,511.38
Typical High
$9,332.54

Where North Carolina 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.

North Carolina· 32nd of 51

$1,660

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.