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Eardrum Perforation Patch Repair

Indiana 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?

$437

Typical negotiated rate. In Indiana, July 2026.

Insurers have agreed to pay about $437 for this service. The price depends on where it is billed: about $347 from a physician practice, and about $6,166 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$347$275 to $447
FacilityA hospital or hospital-owned outpatient department$6,166$2,042 to $8,913

How much rates vary

Facilitymedian $6,166 · 10th to 90th $417 to $10,471Professionalmedian $347 · 10th to 90th $257 to $661
$200$500$1K$2K$5K$10Kfacility $6,166professional $347

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
$323.59
Median
$616.60
Typical High
$9,549.93
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$891.25
Median
$6,456.54
Typical High
$7,079.46
Aetna
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$338.84
Typical High
$676.08
Aetna
Setting
Professional
Modifier
50 · Both sides
Typical Low
$1,047.13
Median
$1,047.13
Typical High
$1,047.13
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$288.40
Typical High
$302.00
Ambetter
Setting
Professional
Modifier
50 · Both sides
Typical Low
$323.59
Median
$457.09
Typical High
$489.78
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,467.37
Median
$8,317.64
Typical High
$10,471.29
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$426.58
Typical High
$630.96
Anthem BCBS
Setting
Professional
Modifier
50 · Both sides
Typical Low
$407.38
Median
$645.65
Typical High
$954.99
CareSource
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$288.40
Typical High
$323.59
Cigna
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$275.42
Typical High
$275.42
Cigna
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$426.58
Typical High
$776.25
United
Setting
Facility
Modifier
Global
Typical Low
$1,318.26
Median
$5,623.41
Typical High
$10,715.19
United
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$380.19
Typical High
$616.60

Where Indiana 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.

Indiana· 32nd of 51

$437

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.