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Eardrum Perforation Patch Repair

Ohio 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?

$490

Typical negotiated rate. In Ohio, July 2026.

Insurers have agreed to pay about $490 for this service. The price depends on where it is billed: about $380 from a physician practice, and about $3,715 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 9 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$380$316 to $550
FacilityA hospital or hospital-owned outpatient department$3,715$1,023 to $6,918

How much rates vary

Facilitymedian $3,715 · 10th to 90th $427 to $10,233Professionalmedian $380 · 10th to 90th $269 to $1,950
$50$200$1K$5Kfacility $3,715professional $380

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
$389.05
Median
$4,073.80
Typical High
$10,715.19
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$912.01
Median
$2,630.27
Typical High
$3,548.13
Aetna
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$398.11
Typical High
$4,168.69
Aetna
Setting
Professional
Modifier
50 · Both sides
Typical Low
$616.60
Median
$3,162.28
Typical High
$3,388.44
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$288.40
Typical High
$288.40
Ambetter
Setting
Professional
Modifier
50 · Both sides
Typical Low
$338.84
Median
$338.84
Typical High
$338.84
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,000.00
Median
$3,019.95
Typical High
$7,943.28
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$380.19
Typical High
$660.69
Anthem BCBS
Setting
Professional
Modifier
50 · Both sides
Typical Low
$398.11
Median
$575.44
Typical High
$977.24
CareSource
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$288.40
Typical High
$323.59
Cigna
Setting
Facility
Modifier
Global
Typical Low
$436.52
Median
$436.52
Typical High
$21,379.62
Cigna
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$426.58
Typical High
$707.95
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$1,445.44
Typical High
$2,511.89
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$436.52
Typical High
$707.95
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$398.11
Typical High
$724.44
United
Setting
Facility
Modifier
Global
Typical Low
$1,174.90
Median
$3,715.35
Typical High
$6,606.93
United
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$389.05
Typical High
$645.65

Where Ohio 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.

Ohio· 23rd of 51

$490

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.