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Unlisted Procedure, Middle Ear

New York rates for HCPCS 69799

Covers an operation on the middle ear — the small air-filled space behind the eardrum containing the tiny hearing bones — that has no standard named entry of its own. The surgeon submits a written report of exactly what was done so the service can be reviewed and priced individually. It is used when the procedure performed does not match any established description.

Rates data updated July 2026.

How much does Unlisted Procedure, Middle Ear cost?

$3,890

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $3,890 for this service. The price depends on where it is billed: about $1,862 from a physician practice, and about $3,981 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$1,862$676 to $7,762
FacilityA hospital or hospital-owned outpatient department$3,981$2,570 to $7,244

How much rates vary

Facilitymedian $3,981 · 10th to 90th $1,698 to $10,233Professionalmedian $1,862 · 10th to 90th $398 to $11,482
$100$500$2K$10Kfacility $3,981professional $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
$1,698.24
Median
$4,265.80
Typical High
$10,964.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$3,090.30
Typical High
$11,481.54
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$1,348.96
Median
$1,348.96
Typical High
$4,073.80
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$34.67
Typical High
$7,762.47
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$5,248.07
Median
$5,248.07
Typical High
$5,248.07
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$50,118.72
Median
$53,703.18
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$398.11
United
Setting
Facility
Modifier
Global
Typical Low
$1,122.02
Median
$2,511.89
Typical High
$4,897.79
United
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$33,884.42

Where New York sits

The same service costs 97.7 times more in Wisconsin 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.

New York· 11th of 49

$3,890

WI $12,589MD $129

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.