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Eardrum Perforation Patch Repair

Virginia 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?

$427

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $427 for this service. The price depends on where it is billed: about $427 from a physician practice, and about $1,230 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$427$324 to $525
FacilityA hospital or hospital-owned outpatient department$1,230$427 to $5,012

How much rates vary

Facilitymedian $1,230 · 10th to 90th $324 to $7,943Professionalmedian $427 · 10th to 90th $288 to $832
$200$500$1K$2K$5K$10Kfacility $1,230professional $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
$398.11
Median
$3,019.95
Typical High
$7,943.28
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$2,884.03
Median
$2,884.03
Typical High
$3,162.28
Aetna
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$416.87
Typical High
$870.96
Aetna
Setting
Professional
Modifier
50 · Both sides
Typical Low
$616.60
Median
$831.76
Typical High
$912.01
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,090.30
Median
$3,981.07
Typical High
$4,466.84
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$436.52
Typical High
$660.69
Anthem BCBS
Setting
Professional
Modifier
50 · Both sides
Typical Low
$446.68
Median
$645.65
Typical High
$1,000.00
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$457.09
Typical High
$3,548.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$436.52
Typical High
$741.31
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$446.68
Typical High
$1,174.90
Medcost
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$630.96
Typical High
$912.01
Medcost
Setting
Facility
Modifier
Global
Typical Low
$295.12
Median
$446.68
Typical High
$724.44
Sentara
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$389.05
Typical High
$8,709.64
Sentara
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$501.19
Typical High
$8,709.64
United
Setting
Facility
Modifier
Global
Typical Low
$3,715.35
Median
$6,309.57
Typical High
$13,182.57
United
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$416.87
Typical High
$676.08

Where Virginia 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.

Virginia· 35th of 51

$427

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.