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Revision Mastoid Surgery With Eardrum Reconstruction

New Jersey 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?

$1,514

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $1,514 for this service. The price depends on where it is billed: about $1,175 from a physician practice, and about $9,772 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$1,175$1,023 to $1,820
FacilityA hospital or hospital-owned outpatient department$9,772$6,457 to $11,749

How much rates vary

Facilitymedian $9,772 · 10th to 90th $4,467 to $14,454Professionalmedian $1,175 · 10th to 90th $955 to $5,888
$1K$2K$5K$10K$20Kfacility $9,772professional $1,175

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
$4,466.84
Median
$9,772.37
Typical High
$14,125.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$1,122.02
Typical High
$11,748.98
Cigna
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$1,479.11
Typical High
$2,884.03
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$1,047.13
Median
$1,412.54
Typical High
$1,862.09
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$12,022.64
Median
$18,197.01
Typical High
$27,542.29
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$1,258.93
Typical High
$2,818.38
United
Setting
Facility
Modifier
Global
Typical Low
$3,630.78
Median
$8,709.64
Typical High
$19,498.45
United
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$1,148.15
Typical High
$2,187.76

Where New Jersey 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.

New Jersey· 39th of 51

$1,514

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.