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Eardrum Repair With Mastoid Bone Surgery

Kentucky rates for HCPCS 69643

Repairs a hole in the eardrum while also opening the mastoid bone behind the ear to clear disease out of it, with the wall of the ear canal left intact or rebuilt afterwards. Keeping that wall means the ear canal holds its normal shape rather than being opened out into one large cavity. The chain of hearing bones is not rebuilt as part of this operation.

Rates data updated July 2026.

How much does Eardrum Repair With Mastoid Bone Surgery cost?

$5,495

Typical facility fee. In Kentucky, July 2026.

Insurers have agreed to pay about $5,495 for this service. Most negotiated rates run $3,631 to $8,511.

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.

How much rates vary

Facilitymedian $5,495 · 10th to 90th $1,349 to $12,303
$1K$2K$5K$10Kfacility $5,495

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
$851.14
Median
$2,818.38
Typical High
$13,803.84
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,311.31
Median
$5,495.41
Typical High
$12,302.69
CareSource
Setting
Facility
Modifier
Global
Typical Low
$1,096.48
Median
$1,513.56
Typical High
$1,778.28
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,905.46
Median
$1,905.46
Typical High
$4,168.69
United
Setting
Facility
Modifier
Global
Typical Low
$1,148.15
Median
$6,025.60
Typical High
$10,471.29

Where Kentucky sits

The same service costs 21.9 times more in Delaware than in West Virginia. 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.

Kentucky· 28th of 50

$5,495

DE $26,303WV $1,202

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.