go back

Eardrum Repair Surgery (Tympanoplasty)

North Carolina rates for HCPCS 69631

Surgical repair of a torn or perforated eardrum to rebuild the membrane and help restore hearing. The surgeon works through the ear canal or behind the ear without opening the mastoid bone, and the small bones that transmit sound are not reconstructed as part of this procedure.

Rates data updated July 2026.

How much does Eardrum Repair Surgery (Tympanoplasty) cost?

$7,628

Typical total for the visit. In North Carolina, July 2026.

Insurers have agreed to pay about $7,628 for this procedure. That total is two separate charges: $1,318 to the doctor who performs it, and $6,310 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

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.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$1,318$871 to $1,905
Facility feeThe hospital or surgery center$6,310$1,905 to $9,333

How much rates vary

Facilitymedian $6,310 · 10th to 90th $871 to $11,220Professionalmedian $1,318 · 10th to 90th $851 to $2,630
$1$10$100$1K$10Kfacility $6,310professional $1,318

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
$870.96
Median
$6,606.93
Typical High
$11,220.18
Aetna
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$1,071.52
Typical High
$2,630.27
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$1,412.54
Typical High
$2,884.03
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,047.13
Median
$1,584.89
Typical High
$2,454.71
Cigna
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$1,318.26
Typical High
$2,187.76
Medcost
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$1,148.15
Typical High
$1,778.28
Medcost
Setting
Professional
Modifier
Global
Typical Low
$1,047.13
Median
$1,047.13
Typical High
$2,238.72
United
Setting
Facility
Modifier
Global
Typical Low
$6,025.60
Median
$11,748.98
Typical High
$23,988.33
United
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$1,047.13
Typical High
$2,041.74
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$16,982.44
Median
$16,982.44
Typical High
$42,657.95
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$7,943.28
Median
$7,943.28
Typical High
$7,943.28

Where North Carolina sits

The same service costs 9.0 times more in West Virginia than in Montana. 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.

Physician feeFacility fee

North Carolina· 27th of 51

$7,628

$1,318 physician + $6,310 facility

WV $24,761MT $2,751

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.