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Revision Mastoid Surgery With Eardrum Reconstruction

New York 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?

$2,512

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $2,512 for this service. The price depends on where it is billed: about $1,349 from a physician practice, and about $6,310 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 9 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$1,349$1,047 to $1,995
FacilityA hospital or hospital-owned outpatient department$6,310$3,631 to $9,772

How much rates vary

Facilitymedian $6,310 · 10th to 90th $1,622 to $13,183Professionalmedian $1,349 · 10th to 90th $912 to $3,388
$1K$2K$5K$10Kfacility $6,310professional $1,349

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
$1,412.54
Median
$5,248.07
Typical High
$12,882.50
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$1,348.96
Typical High
$4,365.16
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,073.80
Median
$7,762.47
Typical High
$13,489.63
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$1,122.02
Typical High
$2,884.03
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$1,584.89
Median
$3,467.37
Typical High
$13,489.63
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$1,584.89
Median
$1,584.89
Typical High
$1,584.89
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,698.24
Median
$1,698.24
Typical High
$11,220.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$1,995.26
Typical High
$5,248.07
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$1,148.15
Median
$1,949.84
Typical High
$3,890.45
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$1,047.13
Median
$1,412.54
Typical High
$2,041.74
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$1,288.25
Typical High
$2,754.23
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$1,148.15
Median
$50,118.72
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$1,479.11
Typical High
$2,951.21
United
Setting
Facility
Modifier
Global
Typical Low
$2,754.23
Median
$5,495.41
Typical High
$13,182.57
United
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$1,513.56
Typical High
$3,467.37
Univera
Setting
Facility
Modifier
Global
Typical Low
$912.01
Median
$1,174.90
Typical High
$3,715.35
Univera
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$1,288.25
Typical High
$3,548.13

Where New York 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 York· 12th of 51

$2,512

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.