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Repair of a Leak at the Round Window of the Ear

Montana rates for HCPCS 69667

Seals a leak at the round window, one of the two membrane-covered openings between the middle ear and the inner ear. When that membrane tears, inner-ear fluid escapes and causes sudden hearing loss, ringing, and dizziness. The middle ear is opened and a small patch of the person's own tissue is laid over the opening to seal it.

Rates data updated July 2026.

How much does Repair of a Leak at the Round Window of the Ear cost?

$1,413

Typical facility fee. In Montana, July 2026.

Insurers have agreed to pay about $1,413 for this service. Most negotiated rates run $1,380 to $1,479.

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.

How much rates vary

Facilitymedian $1,413 · 10th to 90th $1,288 to $1,660
$1.0K$2.0K$5.0K$10.0Kfacility $1,413

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
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,288.25
Median
$1,288.25
Typical High
$1,288.25
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$1,380.38
Median
$1,412.54
Typical High
$1,659.59
Providence
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$1,148.15
Typical High
$1,513.56
United
Setting
Facility
Modifier
Global
Typical Low
$933.25
Median
$933.25
Typical High
$6,760.83

Where Montana sits

The same service costs 13.5 times more in South Carolina than in West Virginia. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Montana $1,413 · 46th of 50
SC $10,471WV $776

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.