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Eardrum Perforation Patch Repair

Missouri 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 Missouri, July 2026.

Insurers have agreed to pay about $537 for this service. The price depends on where it is billed: about $398 from a physician practice, and about $3,388 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$398$309 to $537
FacilityA hospital or hospital-owned outpatient department$3,388$1,660 to $5,012

How much rates vary

Facilitymedian $3,388 · 10th to 90th $407 to $7,413Professionalmedian $398 · 10th to 90th $257 to $891
$200$500$1K$2K$5K$10Kfacility $3,388professional $398

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
$338.84
Median
$3,162.28
Typical High
$7,413.10
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$537.03
Median
$977.24
Typical High
$6,025.60
Aetna
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$363.08
Typical High
$1,023.29
Aetna
Setting
Professional
Modifier
50 · Both sides
Typical Low
$630.96
Median
$758.58
Typical High
$776.25
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$338.84
Typical High
$338.84
Ambetter
Setting
Professional
Modifier
50 · Both sides
Typical Low
$501.19
Median
$501.19
Typical High
$562.34
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,238.72
Median
$4,570.88
Typical High
$8,317.64
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$398.11
Typical High
$630.96
Anthem BCBS
Setting
Professional
Modifier
50 · Both sides
Typical Low
$457.09
Median
$602.56
Typical High
$954.99
BCBS
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$389.05
Typical High
$549.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,570.40
Median
$4,677.35
Typical High
$6,760.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$426.58
Typical High
$741.31
Medica
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$524.81
Typical High
$3,467.37
Medica
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$616.60
Typical High
$2,884.03
United
Setting
Facility
Modifier
Global
Typical Low
$1,230.27
Median
$2,691.53
Typical High
$4,897.79
United
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$426.58
Typical High
$707.95

Where Missouri 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.

Missouri· 19th 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.