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Eardrum Perforation Patch Repair

Georgia rates for HCPCS 69610

This procedure closes a hole in the eardrum using a small patch or by preparing the edges of the perforation so it can heal and seal on its own. It is a simpler, more limited repair than a full surgical reconstruction of the eardrum and is often performed in an office setting.

Rates data updated July 2026.

How much does Eardrum Perforation Patch Repair cost?

$513

Typical negotiated rate. In Georgia, July 2026.

Insurers have agreed to pay about $513 for this service. The price depends on where it is billed: about $427 from a physician practice, and about $3,890 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$427$339 to $589
FacilityA hospital or hospital-owned outpatient department$3,890$1,698 to $5,370

How much rates vary

Facilitymedian $3,890 · 10th to 90th $708 to $7,244Professionalmedian $427 · 10th to 90th $282 to $832
$200$500$1K$2K$5K$10K$20Kfacility $3,890professional $427

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
$478.63
Median
$4,570.88
Typical High
$7,413.10
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$1,000.00
Median
$4,168.69
Typical High
$5,754.40
Aetna
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$407.38
Typical High
$851.14
Aetna
Setting
Professional
Modifier
50 · Both sides
Typical Low
$954.99
Median
$954.99
Typical High
$2,570.40
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$467.74
Typical High
$741.31
Ambetter
Setting
Professional
Modifier
50 · Both sides
Typical Low
$371.54
Median
$645.65
Typical High
$724.44
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,000.00
Median
$2,884.03
Typical High
$5,888.44
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$489.78
Typical High
$676.08
Anthem BCBS
Setting
Professional
Modifier
50 · Both sides
Typical Low
$501.19
Median
$741.31
Typical High
$1,023.29
Cigna
Setting
Facility
Modifier
Global
Typical Low
$263.03
Median
$263.03
Typical High
$263.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$478.63
Typical High
$812.83
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$389.05
Typical High
$588.84
United
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$3,890.45
Typical High
$6,918.31
United
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$436.52
Typical High
$758.58

Where Georgia sits

The same service costs 4.0 times more in Oklahoma than in Hawaii. 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.

Georgia· 22nd of 51

$513

OK $1,380HI $347

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.