go back

Eardrum Perforation Patch Repair

Idaho 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?

$537

Typical negotiated rate. In Idaho, July 2026.

Insurers have agreed to pay about $537 for this service. The price depends on where it is billed: about $513 from a physician practice, and about $1,000 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 8 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$513$398 to $676
FacilityA hospital or hospital-owned outpatient department$1,000$589 to $3,162

How much rates vary

Facilitymedian $1,000 · 10th to 90th $380 to $5,012Professionalmedian $513 · 10th to 90th $324 to $851
$500$1K$2K$5K$10Kfacility $1,000professional $513

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
$602.56
Median
$2,691.53
Typical High
$5,495.41
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$5,495.41
Median
$5,495.41
Typical High
$5,495.41
Aetna
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$512.86
Typical High
$1,698.24
Aetna
Setting
Professional
Modifier
50 · Both sides
Typical Low
$812.83
Median
$1,659.59
Typical High
$1,659.59
BCBS
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$2,187.76
Typical High
$3,981.07
BCBS
Setting
Facility
Modifier
50 · Both sides
Typical Low
$588.84
Median
$3,235.94
Typical High
$6,025.60
BCBS
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$602.56
Typical High
$758.58
BCBS
Setting
Professional
Modifier
50 · Both sides
Typical Low
$794.33
Median
$933.25
Typical High
$1,148.15
Cigna
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$478.63
Typical High
$660.69
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$512.86
Typical High
$794.33
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$501.19
Typical High
$758.58
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$2,884.03
Median
$3,715.35
Typical High
$5,011.87
Regence BlueShield
Setting
Facility
Modifier
50 · Both sides
Typical Low
$4,365.16
Median
$5,888.44
Typical High
$7,413.10
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$478.63
Typical High
$630.96
Select Health
Setting
Facility
Modifier
Global
Typical Low
$354.81
Median
$2,344.23
Typical High
$3,981.07
Select Health
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$354.81
Typical High
$354.81
United
Setting
Facility
Modifier
Global
Typical Low
$3,162.28
Median
$12,302.69
Typical High
$12,302.69
United
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$446.68
Typical High
$707.95

Where Idaho 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.

Idaho· 15th of 51

$537

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.