go back

Revision Mastoid Surgery With Eardrum Reconstruction

South 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?

$1,349

Typical negotiated rate. In South Carolina, July 2026.

Insurers have agreed to pay about $1,349 for this service. The price depends on where it is billed: about $1,230 from a physician practice, and about $10,965 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$1,230$1,096 to $1,349
FacilityA hospital or hospital-owned outpatient department$10,965$4,571 to $16,982

How much rates vary

Facilitymedian $10,965 · 10th to 90th $1,318 to $21,878Professionalmedian $1,230 · 10th to 90th $1,047 to $2,188
$50$200$1K$5K$20Kfacility $10,965professional $1,230

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
$1,230.27
Median
$12,022.64
Typical High
$21,877.62
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,047.13
Median
$1,230.27
Typical High
$1,513.56
BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,570.88
Median
$11,220.18
Typical High
$18,197.01
BCBS
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$1,659.59
Typical High
$2,398.83
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,122.02
Median
$3,715.35
Typical High
$4,786.30
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,122.02
Median
$1,445.44
Typical High
$2,398.83
Medcost
Setting
Facility
Modifier
Global
Typical Low
$1,000.00
Median
$1,479.11
Typical High
$2,570.40
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$4,677.35
Median
$16,595.87
Typical High
$25,703.96
United
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,318.26
Typical High
$2,238.72

Where South 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.

South Carolina· 43rd of 51

$1,349

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.