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Eardrum Perforation Patch Repair

Iowa 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?

$661

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $661 for this service. The price depends on where it is billed: about $631 from a physician practice, and about $3,802 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 7 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$631$389 to $955
FacilityA hospital or hospital-owned outpatient department$3,802$891 to $5,495

How much rates vary

Facilitymedian $3,802 · 10th to 90th $468 to $7,079Professionalmedian $631 · 10th to 90th $302 to $1,950
$500$1K$2K$5K$10Kfacility $3,802professional $631

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
$467.74
Median
$3,981.07
Typical High
$7,943.28
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$1,288.25
Median
$1,288.25
Typical High
$1,288.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$537.03
Typical High
$1,949.84
Aetna
Setting
Professional
Modifier
50 · Both sides
Typical Low
$1,445.44
Median
$2,570.40
Typical High
$2,570.40
Cigna
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$831.76
Typical High
$1,122.02
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$537.03
Typical High
$954.99
Medica
Setting
Facility
Modifier
Global
Typical Low
$537.03
Median
$954.99
Typical High
$5,370.32
Medica
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$758.58
Typical High
$2,137.96
Midlands
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$831.76
Typical High
$1,071.52
Midlands
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$758.58
Typical High
$1,071.52
United
Setting
Facility
Modifier
Global
Typical Low
$2,238.72
Median
$4,073.80
Typical High
$6,456.54
United
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$549.54
Typical High
$977.24
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$588.84
Typical High
$891.25

Where Iowa 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.

Iowa· 8th of 51

$661

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.