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Repair of a Leak at the Round Window of the Ear

Utah 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?

$4,074

Typical facility fee. In Utah, July 2026.

Insurers have agreed to pay about $4,074 for this service. Most negotiated rates run $1,230 to $6,607.

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 $5,129 · 10th to 90th $933 to $9,120Professionalmedian $1,230 · 10th to 90th $646 to $3,890
$1.0K$2.0K$5.0K$10.0Kfacility $5,129professional $1,230

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
$933.25
Median
$4,570.88
Typical High
$8,709.64
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$4,677.35
Median
$6,309.57
Typical High
$9,772.37
Select Health
Setting
Facility
Modifier
Global
Typical Low
$1,445.44
Median
$1,445.44
Typical High
$1,445.44
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$1,230.27
Typical High
$3,890.45
United
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$5,128.61
Typical High
$7,079.46

Where Utah 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.

Utah $4,074 · 22nd 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.