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Eardrum Perforation Patch Repair

Montana 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?

$407

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $407 for this service. The price depends on where it is billed: about $398 from a physician practice, and about $646 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$398$331 to $525
FacilityA hospital or hospital-owned outpatient department$646$501 to $676

How much rates vary

Facilitymedian $646 · 10th to 90th $490 to $2,399Professionalmedian $398 · 10th to 90th $275 to $813
$200$1K$5K$20K$100Kfacility $646professional $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
$2,398.83
Median
$2,398.83
Typical High
$2,398.83
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$1,288.25
Median
$2,511.89
Typical High
$2,691.53
Aetna
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$371.54
Typical High
$812.83
Aetna
Setting
Professional
Modifier
50 · Both sides
Typical Low
$436.52
Median
$2,238.72
Typical High
$3,801.89
BCBS
Setting
Facility
Modifier
Global
Typical Low
$64,565.42
Median
$75,857.76
Typical High
$91,201.08
BCBS
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$457.09
Typical High
$602.56
Cigna
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$457.09
Typical High
$457.09
Cigna
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$457.09
Typical High
$645.65
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$660.69
Typical High
$707.95
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$660.69
Typical High
$707.95
Providence
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$446.68
Typical High
$660.69
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$426.58
Typical High
$758.58
United
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$489.78
Typical High
$3,162.28
United
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$562.34
Typical High
$891.25

Where Montana 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.

Montana· 43rd of 51

$407

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.