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Eardrum And Hearing Bone Repair With Mastoid Opening

Delaware rates for HCPCS 69642

Rebuilds a damaged eardrum and, in the same operation, opens into the air cells of the bone behind the ear to clear disease from them. It also includes rebuilding the tiny chain of hearing bones in the middle ear so sound is carried to the inner ear again.

Rates data updated October 2026.

How much does Eardrum And Hearing Bone Repair With Mastoid Opening cost?

$4,465

Typical total for the visit. In Delaware, October 2026.

Insurers have agreed to pay about $4,465 for this procedure. That total is two separate charges: $1,445 to the doctor who performs it, and $3,020 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 4 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$1,445$1,259 to $1,820
Facility feeThe hospital or surgery center$3,020$1,820 to $4,074

How much rates vary

Facilitymedian $3,020 · 10th to 90th $1,413 to $5,888Professionalmedian $1,445 · 10th to 90th $1,148 to $2,455
$200$500$1K$2K$5K$10Kfacility $3,020professional $1,445

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$1,445.44
Median
$3,019.95
Typical High
$7,585.78
Aetna
Setting
Professional
Modifier
None
Typical Low
$1,230.27
Median
$1,445.44
Typical High
$1,445.44
Cigna
Setting
Facility
Modifier
None
Typical Low
$1,380.38
Median
$3,801.89
Typical High
$5,888.44
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,148.15
Median
$1,513.56
Typical High
$2,454.71
Highmark BCBS
Setting
Facility
Modifier
None
Typical Low
$1,819.70
Median
$10,715.19
Typical High
$11,220.18
United
Setting
Facility
Modifier
None
Typical Low
$1,412.54
Median
$2,398.83
Typical High
$3,981.07
United
Setting
Professional
Modifier
None
Typical Low
$1,122.02
Median
$1,513.56
Typical High
$2,398.83

Where Delaware sits

The same service costs 3.1 times more in Alaska 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

Delaware· 44th of 51

$4,465

$1,445 physician + $3,020 facility

AK $12,740MT $4,083

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.