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Eardrum Perforation Patch Repair

Illinois 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?

$457

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $457 for this service. The price depends on where it is billed: about $407 from a physician practice, and about $1,862 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$407$324 to $603
FacilityA hospital or hospital-owned outpatient department$1,862$692 to $5,012

How much rates vary

Facilitymedian $1,862 · 10th to 90th $437 to $6,918Professionalmedian $407 · 10th to 90th $263 to $741
$500$1K$2K$5K$10K$20Kfacility $1,862professional $407

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
$436.52
Median
$1,778.28
Typical High
$7,762.47
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$741.31
Median
$4,677.35
Typical High
$7,585.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$371.54
Typical High
$758.58
Aetna
Setting
Professional
Modifier
50 · Both sides
Typical Low
$537.03
Median
$794.33
Typical High
$977.24
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,380.38
Median
$2,238.72
Typical High
$5,495.41
BCBS
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$489.78
Typical High
$724.44
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,630.27
Median
$4,677.35
Typical High
$5,248.07
Cigna
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$426.58
Typical High
$691.83
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$549.54
Typical High
$1,122.02
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$363.08
Typical High
$512.86
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$1,318.26
Median
$3,388.44
Typical High
$6,025.60
United
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$446.68
Typical High
$741.31

Where Illinois 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.

Illinois· 28th of 51

$457

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.