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Revision Mastoid Surgery With Eardrum Reconstruction

North Dakota 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?

$2,138

Typical negotiated rate. In North Dakota, July 2026.

Insurers have agreed to pay about $2,138 for this service. The price depends on where it is billed: about $2,188 from a physician practice, and about $1,096 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$2,188$1,445 to $2,512
FacilityA hospital or hospital-owned outpatient department$1,096$1,096 to $8,511

How much rates vary

Facilitymedian $1,096 · 10th to 90th $1,096 to $10,000Professionalmedian $2,188 · 10th to 90th $1,096 to $2,818
$1K$2K$5K$10Kfacility $1,096professional $2,188

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
$1,096.48
Typical High
$10,000.00
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$1,096.48
Typical High
$1,096.48
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,949.84
Median
$2,398.83
Typical High
$2,818.38
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,621.81
Median
$2,089.30
Typical High
$3,388.44
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,096.48
Median
$1,584.89
Typical High
$3,311.31
Medica
Setting
Professional
Modifier
Global
Typical Low
$1,071.52
Median
$1,995.26
Typical High
$2,398.83
United
Setting
Facility
Modifier
Global
Typical Low
$7,943.28
Median
$8,912.51
Typical High
$8,912.51
United
Setting
Professional
Modifier
Global
Typical Low
$1,071.52
Median
$1,905.46
Typical High
$2,754.23

Where North Dakota 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 Dakota· 15th of 51

$2,138

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.