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Eardrum Perforation Patch Repair

North Carolina 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?

$447

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $447 for this service. The price depends on where it is billed: about $427 from a physician practice, and about $562 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$427$355 to $708
FacilityA hospital or hospital-owned outpatient department$562$372 to $1,905

How much rates vary

Facilitymedian $562 · 10th to 90th $282 to $7,943Professionalmedian $427 · 10th to 90th $282 to $1,023
$500$1K$2K$5K$10Kfacility $562professional $427

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
$281.84
Median
$588.84
Typical High
$7,943.28
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$1,949.84
Median
$6,309.57
Typical High
$6,309.57
Aetna
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$407.38
Typical High
$1,071.52
Aetna
Setting
Professional
Modifier
50 · Both sides
Typical Low
$691.83
Median
$1,584.89
Typical High
$1,659.59
Ambetter
Setting
Professional
Modifier
50 · Both sides
Typical Low
$371.54
Median
$371.54
Typical High
$371.54
BCBS
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$549.54
Typical High
$954.99
Cigna
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$512.86
Typical High
$851.14
Medcost
Setting
Facility
Modifier
Global
Typical Low
$281.84
Median
$416.87
Typical High
$660.69
Medcost
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$199.53
Typical High
$954.99
United
Setting
Facility
Modifier
Global
Typical Low
$2,951.21
Median
$6,606.93
Typical High
$12,882.50
United
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$407.38
Typical High
$776.25
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$5,370.32
Typical High
$5,370.32
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$2,754.23
Median
$2,754.23
Typical High
$3,235.94

Where North Carolina 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.

North Carolina· 29th of 51

$447

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.