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Repair of a Leak at the Round Window of the Ear

Wisconsin 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?

$4,677

Typical facility fee. In Wisconsin, July 2026.

Insurers have agreed to pay about $4,677 for this service. Most negotiated rates run $2,951 to $6,026.

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 10 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $5,012 · 10th to 90th $2,884 to $8,913Professionalmedian $1,862 · 10th to 90th $1,148 to $2,630
$1.0K$2.0K$5.0K$10.0Kfacility $5,012professional $1,862

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
$758.58
Median
$1,659.59
Typical High
$14,454.40
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,311.31
Median
$5,011.87
Typical High
$9,332.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,137.96
Median
$2,454.71
Typical High
$3,981.07
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$4,786.30
Typical High
$8,912.51
Medica
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$5,623.41
Typical High
$8,317.64
Network Health
Setting
Facility
Modifier
Global
Typical Low
$1,659.59
Median
$5,754.40
Typical High
$7,762.47
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$933.25
Typical High
$2,041.74
Quartz
Setting
Professional
Modifier
Global
Typical Low
$1,148.15
Median
$1,862.09
Typical High
$2,630.27
Quartz
Setting
Facility
Modifier
Global
Typical Low
$5,754.40
Median
$8,317.64
Typical High
$8,317.64
Security Health
Setting
Professional
Modifier
Global
Typical Low
$2,238.72
Median
$2,238.72
Typical High
$2,238.72
United
Setting
Facility
Modifier
Global
Typical Low
$4,897.79
Median
$7,413.10
Typical High
$8,912.51

Where Wisconsin 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.

Wisconsin $4,677 · 18th 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.