Open-Cavity Ear Surgery With Bone Rebuilding

Nationwide rates for HCPCS 69646

Combines repair of the eardrum with a thorough clearance of the mastoid bone in which the wall of the ear canal is taken down so the area becomes one open cavity, and rebuilds the chain of small hearing bones in the same operation. It is used for extensive middle-ear disease where everything diseased has to be exposed to be removed. Rebuilding the hearing bones aims to restore a sound pathway to the inner ear.

Rates data updated July 2026.

How much does Open-Cavity Ear Surgery With Bone Rebuilding cost?

$9,704

Typical total for the visit. Nationwide, July 2026.

Insurers have agreed to pay about $9,704 for this procedure. That total is two separate charges: $2,291 to the doctor who performs it, and $7,413 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

24% physician fee76% facility fee

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 53 insurance carriers under federal price transparency rules.

What's inside this number

Part of the bill	Who charges it	Typical	Range
Physician feeThe doctor who performs it	The doctor who performs it	$2,291	$1,738 to $3,388
Facility feeThe hospital or surgery center	The hospital or surgery center	$7,413	$3,715 to $12,303

How much rates vary

Facilitymedian $7,413 · 10th to 90th $1,905 to $17,378Professionalmedian $2,291 · 10th to 90th $1,479 to $5,248

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	Facility/Professional	Modifier	Typical Low	Median	Typical High
Aetna Setting Facility Modifier Global Typical Low $1,584.89 Median $5,754.40 Typical High $14,791.08	Facility	Global	$1,584.89	$5,754.40	$14,791.08
BCBS Setting Facility Modifier Global Typical Low $3,801.89 Median $10,715.19 Typical High $20,417.38	Facility	Global	$3,801.89	$10,715.19	$20,417.38
Cigna Setting Facility Modifier Global Typical Low $2,454.71 Median $4,786.30 Typical High $12,882.50	Facility	Global	$2,454.71	$4,786.30	$12,882.50
United Setting Facility Modifier Global Typical Low $2,398.83 Median $7,079.46 Typical High $15,848.93	Facility	Global	$2,398.83	$7,079.46	$15,848.93

What it costs in each state

The same service costs 2.4 times more in Wisconsin than in Oregon. 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

Touch or drag across the chart to see any state's rate.

WI $14,596OR $6,110

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.