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Revision Mastoid Surgery With Eardrum Reconstruction

Washington 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?

$2,291

Typical negotiated rate. In Washington, July 2026.

Insurers have agreed to pay about $2,291 for this service. The price depends on where it is billed: about $2,042 from a physician practice, and about $4,169 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 10 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$2,042$1,514 to $2,754
FacilityA hospital or hospital-owned outpatient department$4,169$2,188 to $17,783

How much rates vary

Facilitymedian $4,169 · 10th to 90th $1,549 to $22,909Professionalmedian $2,042 · 10th to 90th $1,023 to $3,162
$100$1K$10Kfacility $4,169professional $2,042

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
$1,548.82
Median
$7,079.46
Typical High
$22,908.68
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,659.59
Typical High
$3,162.28
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$10,715.19
Median
$18,197.01
Typical High
$32,359.37
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$1,548.82
Median
$2,187.76
Typical High
$2,884.03
Cigna
Setting
Facility
Modifier
Global
Typical Low
$4,168.69
Median
$4,168.69
Typical High
$6,918.31
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,318.26
Median
$2,137.96
Typical High
$3,388.44
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$1,445.44
Median
$2,691.53
Typical High
$15,848.93
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$1,445.44
Median
$2,454.71
Typical High
$5,370.32
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$478.63
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$1,348.96
Median
$2,137.96
Typical High
$2,187.76
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,513.56
Median
$1,513.56
Typical High
$1,548.82
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,548.82
Median
$2,398.83
Typical High
$3,235.94
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$10,964.78
Median
$17,378.01
Typical High
$31,622.78
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$1,548.82
Median
$2,187.76
Typical High
$2,884.03
United
Setting
Facility
Modifier
Global
Typical Low
$3,548.13
Median
$18,197.01
Typical High
$33,884.42
United
Setting
Professional
Modifier
Global
Typical Low
$1,148.15
Median
$1,819.70
Typical High
$3,162.28
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$1,348.96
Typical High
$2,089.30

Where Washington 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.

Washington· 14th of 51

$2,291

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.