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Eardrum Perforation Patch Repair

Utah 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?

$513

Typical negotiated rate. In Utah, July 2026.

Insurers have agreed to pay about $513 for this service. The price depends on where it is billed: about $447 from a physician practice, and about $4,467 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$447$339 to $676
FacilityA hospital or hospital-owned outpatient department$4,467$2,042 to $6,457

How much rates vary

Facilitymedian $4,467 · 10th to 90th $447 to $7,943Professionalmedian $447 · 10th to 90th $282 to $912
$100$200$500$1K$2K$5K$10Kfacility $4,467professional $447

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
$446.68
Median
$4,570.88
Typical High
$7,943.28
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$363.08
Median
$812.83
Typical High
$1,288.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$446.68
Typical High
$912.01
Cigna
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$457.09
Typical High
$645.65
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$891.25
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$2,137.96
Median
$2,951.21
Typical High
$4,466.84
Regence BlueShield
Setting
Facility
Modifier
50 · Both sides
Typical Low
$3,162.28
Median
$4,466.84
Typical High
$6,606.93
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$501.19
Typical High
$660.69
Select Health
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$758.58
Typical High
$758.58
Select Health
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$676.08
Typical High
$794.33
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$524.81
Typical High
$724.44
United
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$4,466.84
Typical High
$7,079.46
United
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$407.38
Typical High
$691.83

Where Utah 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.

Utah· 21st of 51

$513

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.