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Eardrum Perforation Patch Repair

Kentucky 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?

$389

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $389 for this service. The price depends on where it is billed: about $339 from a physician practice, and about $3,162 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$339$275 to $407
FacilityA hospital or hospital-owned outpatient department$3,162$794 to $5,370

How much rates vary

Facilitymedian $3,162 · 10th to 90th $389 to $7,762Professionalmedian $339 · 10th to 90th $257 to $631
$200$500$1K$2K$5K$10Kfacility $3,162professional $339

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
$288.40
Median
$616.60
Typical High
$2,754.23
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$891.25
Median
$1,621.81
Typical High
$3,162.28
Aetna
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$354.81
Typical High
$831.76
Aetna
Setting
Professional
Modifier
50 · Both sides
Typical Low
$891.25
Median
$891.25
Typical High
$891.25
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,570.40
Median
$4,466.84
Typical High
$7,762.47
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$331.13
Typical High
$467.74
Anthem BCBS
Setting
Professional
Modifier
50 · Both sides
Typical Low
$389.05
Median
$501.19
Typical High
$691.83
CareSource
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$363.08
Typical High
$426.58
CareSource
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$354.81
Typical High
$436.52
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$436.52
Typical High
$436.52
Cigna
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$489.78
Typical High
$2,041.74
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$3,388.44
Typical High
$6,025.60
United
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$380.19
Typical High
$630.96

Where Kentucky 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.

Kentucky· 48th of 51

$389

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.