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Eardrum Perforation Patch Repair

West 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 West Virginia, July 2026.

Insurers have agreed to pay about $427 for this service. The price depends on where it is billed: about $398 from a physician practice, and about $3,162 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 5 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$398$309 to $617
FacilityA hospital or hospital-owned outpatient department$3,162$1,738 to $4,467

How much rates vary

Facilitymedian $3,162 · 10th to 90th $372 to $6,918Professionalmedian $398 · 10th to 90th $269 to $794
$500$1K$2K$5Kfacility $3,162professional $398

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
$371.54
Median
$3,162.28
Typical High
$6,918.31
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$912.01
Median
$912.01
Typical High
$2,691.53
Aetna
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$407.38
Typical High
$794.33
Aetna
Setting
Professional
Modifier
50 · Both sides
Typical Low
$616.60
Median
$616.60
Typical High
$912.01
CareSource
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$302.00
Typical High
$363.08
CareSource
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$323.59
Typical High
$323.59
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$436.52
Typical High
$436.52
Cigna
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$457.09
Typical High
$2,041.74
Highmark BCBS
Setting
Facility
Modifier
50 · Both sides
Typical Low
$3,388.44
Median
$3,388.44
Typical High
$3,388.44
United
Setting
Facility
Modifier
Global
Typical Low
$2,454.71
Median
$2,951.21
Typical High
$4,365.16
United
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$363.08
Typical High
$602.56

Where West 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.

West Virginia· 34th 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.