go back

Eardrum Perforation Patch Repair

South Dakota 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?

$646

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $646 for this service. The price depends on where it is billed: about $589 from a physician practice, and about $1,072 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 8 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$589$372 to $851
FacilityA hospital or hospital-owned outpatient department$1,072$977 to $2,138

How much rates vary

Facilitymedian $1,072 · 10th to 90th $575 to $2,138Professionalmedian $589 · 10th to 90th $282 to $1,023
$500$1K$2K$5Kfacility $1,072professional $589

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
$977.24
Median
$1,071.52
Typical High
$2,137.96
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$1,513.56
Median
$2,511.89
Typical High
$4,168.69
Aetna
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$380.19
Typical High
$1,023.29
Aetna
Setting
Professional
Modifier
50 · Both sides
Typical Low
$812.83
Median
$812.83
Typical High
$3,801.89
Avera
Setting
Facility
Modifier
Global
Typical Low
$281.84
Median
$467.74
Typical High
$575.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$891.25
Typical High
$1,122.02
Medica
Setting
Facility
Modifier
Global
Typical Low
$338.84
Median
$562.34
Typical High
$1,000.00
Medica
Setting
Facility
Modifier
50 · Both sides
Typical Low
$851.14
Median
$851.14
Typical High
$2,818.38
Medica
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$724.44
Typical High
$2,884.03
Midlands
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$660.69
Typical High
$870.96
Midlands
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$588.84
Typical High
$776.25
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$562.34
Typical High
$741.31
United
Setting
Facility
Modifier
Global
Typical Low
$2,691.53
Median
$2,691.53
Typical High
$3,162.28
United
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$616.60
Typical High
$1,000.00
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$616.60
Typical High
$933.25

Where South Dakota 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.

South Dakota· 9th of 51

$646

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.