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Repair of a Leak at the Round Window of the Ear

New Hampshire 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 October 2026.

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

$3,600

Typical total for the visit. In New Hampshire, October 2026.

Insurers have agreed to pay about $3,600 for this procedure. That total is two separate charges: $1,413 to the doctor who performs it, and $2,188 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 6 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$1,413$1,072 to $1,862
Facility feeThe hospital or surgery center$2,188$1,698 to $2,951

How much rates vary

Facilitymedian $2,188 · 10th to 90th $1,622 to $3,890Professionalmedian $1,413 · 10th to 90th $851 to $2,630
$1K$2K$5K$10Kfacility $2,188professional $1,413

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
$2,398.83
Median
$3,388.44
Typical High
$14,791.08
Aetna
Setting
Professional
Modifier
None
Typical Low
$794.33
Median
$933.25
Typical High
$933.25
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$1,513.56
Median
$1,737.80
Typical High
$3,890.45
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$912.01
Median
$1,412.54
Typical High
$2,630.27
Anthem BCBS
Setting
Professional
Modifier
50 · Both sides
Typical Low
$1,380.38
Median
$2,089.30
Typical High
$3,890.45
Cigna
Setting
Facility
Modifier
None
Typical Low
$812.83
Median
$2,818.38
Typical High
$3,548.13
Cigna
Setting
Professional
Modifier
None
Typical Low
$851.14
Median
$1,258.93
Typical High
$2,454.71
Harvard Pilgrim
Setting
Facility
Modifier
None
Typical Low
$1,698.24
Median
$1,949.84
Typical High
$4,265.80
Harvard Pilgrim
Setting
Professional
Modifier
None
Typical Low
$831.76
Median
$1,380.38
Typical High
$2,691.53
United
Setting
Facility
Modifier
None
Typical Low
$1,698.24
Median
$2,089.30
Typical High
$4,265.80
United
Setting
Professional
Modifier
None
Typical Low
$912.01
Median
$1,230.27
Typical High
$2,454.71
Well Sense
Setting
Facility
Modifier
None
Typical Low
$891.25
Median
$891.25
Typical High
$891.25

Where New Hampshire sits

The same service costs 3.2 times more in Oklahoma than in Maryland. 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

New Hampshire· 21st of 51

$3,600

$1,413 physician + $2,188 facility

OK $7,412MD $2,297

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.