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Eardrum Perforation Patch Repair

New Jersey 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?

$417

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $417 for this service. The price depends on where it is billed: about $372 from a physician practice, and about $6,457 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$372$288 to $525
FacilityA hospital or hospital-owned outpatient department$6,457$4,365 to $8,511

How much rates vary

Facilitymedian $6,457 · 10th to 90th $490 to $10,965Professionalmedian $372 · 10th to 90th $263 to $977
$200$500$1K$2K$5K$10Kfacility $6,457professional $372

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
$489.78
Median
$6,456.54
Typical High
$10,964.78
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$5,754.40
Median
$7,585.78
Typical High
$7,585.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$354.81
Typical High
$1,230.27
Aetna
Setting
Professional
Modifier
50 · Both sides
Typical Low
$3,801.89
Median
$3,801.89
Typical High
$3,801.89
AmeriHealth
Setting
Facility
Modifier
Global
Typical Low
$11,220.18
Median
$11,220.18
Typical High
$11,220.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$467.74
Typical High
$891.25
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$467.74
Typical High
$724.44
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,090.30
Median
$5,011.87
Typical High
$7,585.78
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$436.52
Typical High
$831.76
United
Setting
Facility
Modifier
Global
Typical Low
$2,511.89
Median
$6,165.95
Typical High
$10,471.29
United
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$323.59
Typical High
$676.08

Where New Jersey 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.

New Jersey· 38th of 51

$417

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.