go back

New York rates for HCPCS 69642

Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with ossicular chain reconstruction

Facilitymedian $6,457 · 10th–90th $1,862$13,4900%5%10th90th$6,457$1.0K$2.0K$5.0K$10.0K$20.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,698.24 / $5,888.44 / $13,182.57
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,073.80 / $7,762.47 / $13,803.84
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,905.46 / $3,467.37 / $13,489.63
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,238.72 / $5,754.40 / $53,703.18
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,380.38 / $2,344.23 / $4,570.88
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,585.78 / $10,000.00 / $10,000.00
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,479.11 / $50,118.72 / $75,857.76
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,691.53 / $5,495.41 / $12,589.25
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,096.48 / $1,412.54 / $4,365.16