Eardrum incision

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

HC MYRINGOTOMY W/ ASPIR AND/OR EUSTACHIAN TUBE INFLATION

Payers reporting CPT 69420

Payer pricing summary

Low

$153

Average

$764

Median

$449

High

$6.4k

Payer rate distribution

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#
1	Wellmark case rate · outpatient · +18 other terms	13	$221	$806	$2.1k	264%	3–30	$218 – $8.8k
2	Aetna fee schedule · outpatient · +37 other terms	496	$267	$1.5k	$3.4k	225%	2–20	$1 – $37.3k
3	Molina fee schedule · outpatient · +27 other terms	223	$174	$192	$289	151%	2–20	$1 – $3.5k
4	UnitedHealthcare fee schedule · outpatient · +36 other terms	542	$239	$723	$1.4k	190%	1–10	$1 – $17.9k
5	Humana fee schedule · outpatient · +28 other terms	367	$233	$394	$900	228%	1–10	$1 – $12.8k
6	Anthem fee schedule · outpatient · +29 other terms	122	$243	$491	$944	193%	1–10	$64 – $6.3k
7	Kaiser fee schedule · outpatient · +23 other terms	103	$319	$468	$629	134%	1–10	$31 – $4.3k
8	Blue Cross Blue Shield fee schedule · outpatient · +31 other terms	364	$504	$1.1k	$1.7k	158%	—	$0 – $18.0k
9	Cigna case rate · outpatient · +28 other terms	312	$2.9k	$4.5k	$6.1k	135%	—	$1 – $40.7k
10	WellCare fee schedule · outpatient · +19 other terms	172	$233	$315	$525	167%	—	$81 – $4.3k
11	Oscar case rate · outpatient · +22 other terms	130	$2.5k	$2.7k	$750	28%	—	$363 – $7.5k
12	Ambetter fee schedule · outpatient · +17 other terms	80	$411	$390	$256	66%	—	$55 – $2.3k
13	Aetna Better Health fee schedule · outpatient · +19 other terms	74	$111	$135	$81	60%	—	$88 – $816
14	Devoted fee schedule · outpatient · +13 other terms	69	$235	$226	$43	19%	—	$117 – $319
15	Optum fee schedule · outpatient · +24 other terms	59	$215	$606	$2.0k	335%	—	$107 – $12.2k
16	Caresource fee schedule · outpatient · +15 other terms	56	$250	$429	$545	127%	—	$1 – $4.3k
17	MultiPlan fee schedule · outpatient · +21 other terms	48	$392	$406	$194	48%	—	$77 – $1.6k
18	Healthcare Highways case rate · outpatient · +2 other terms	42	$5.8k	$6.7k	$5.1k	77%	—	$2.1k – $14.6k
19	Superior Healthplan case rate · outpatient · +4 other terms	38	$948	$934	$82	9%	—	$349 – $948
20	Cigna Healthspring fee schedule · outpatient · +8 other terms	32	$107	$147	$66	45%	—	$92 – $244
21	Clover fee schedule · outpatient · +10 other terms	32	$258	$785	$1.3k	170%	—	$118 – $4.4k
22	Tricare fee schedule · outpatient · +18 other terms	32	$292	$857	$1.6k	188%	—	$108 – $5.1k
23	Regence professional · fee schedule · outpatient · +15 other terms	31	$173	$213	$135	64%	—	$50 – $607
24	Amerihealth Caritas case rate · outpatient · +13 other terms	30	$549	$1.7k	$1.3k	79%	—	$130 – $3.3k
25	Bcbs Tx fee schedule · outpatient · +3 other terms	29	$165	$164	$67	41%	—	$80 – $427

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