Biopsy of ear
Medicare pricing data for 15,803 providers across 52 states
Note: These costs reflect the Medicare physician/supplier component. Hospital facility fees are billed separately and can be 2-5x the physician fee.
💡 What You Should Know
Biopsy of ear (HCPCS code 69100) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $66.49, but hospitals typically charge $226.47 — a 3.4x markup. Prices vary significantly by state and provider.
🏷️ Typical Out-of-Pocket Cost
Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $66.49, your out-of-pocket cost would be approximately $13.30. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.
What Hospitals Charge vs. What Medicare Pays
Hospitals charge 3.4x more than what Medicare allows for this procedure. Medicare actually pays $48.85 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Alaska | $88 | $282 | 17 | 108 | +31.8% |
| Puerto Rico | $81 | $105 | 12 | 27 | +21.9% |
| New Jersey | $77 | $252 | 475 | 4,190 | +16.2% |
| Connecticut | $76 | $254 | 193 | 1,302 | +15.0% |
| New York | $76 | $270 | 904 | 6,837 | +14.9% |
| Maryland | $76 | $231 | 308 | 3,108 | +14.1% |
| California | $75 | $214 | 1,371 | 13,862 | +13.1% |
| District of Columbia | $75 | $200 | 33 | 213 | +12.7% |
| Massachusetts | $75 | $302 | 466 | 3,622 | +12.3% |
| Hawaii | $73 | $239 | 37 | 271 | +9.6% |
| Colorado | $71 | $229 | 339 | 3,238 | +7.3% |
| Delaware | $71 | $158 | 43 | 561 | +7.1% |
| Virginia | $70 | $236 | 414 | 4,549 | +6.0% |
| Rhode Island | $70 | $218 | 71 | 532 | +5.2% |
| Illinois | $69 | $288 | 512 | 4,511 | +4.4% |
| Michigan | $69 | $231 | 472 | 3,178 | +4.3% |
| Oregon | $68 | $252 | 230 | 1,961 | +2.5% |
| Washington | $68 | $206 | 360 | 3,347 | +2.3% |
| Pennsylvania | $67 | $213 | 596 | 5,758 | +1.4% |
| Louisiana | $66 | $192 | 155 | 1,272 | -0.3% |
| Missouri | $66 | $239 | 268 | 2,845 | -0.8% |
| Nevada | $66 | $200 | 139 | 1,266 | -0.9% |
| Texas | $65 | $215 | 1,079 | 12,365 | -1.6% |
| Maine | $65 | $245 | 53 | 571 | -1.7% |
| Wyoming | $65 | $232 | 30 | 632 | -2.1% |
| New Hampshire | $65 | $302 | 101 | 974 | -2.1% |
| Arizona | $65 | $216 | 456 | 7,136 | -2.6% |
| Utah | $64 | $182 | 170 | 1,306 | -3.2% |
| Georgia | $64 | $245 | 500 | 5,577 | -3.4% |
| Idaho | $64 | $195 | 110 | 1,119 | -3.6% |
| Ohio | $64 | $205 | 522 | 4,005 | -3.7% |
| North Carolina | $64 | $209 | 597 | 6,562 | -3.9% |
| Vermont | $64 | $214 | 24 | 147 | -4.0% |
| Nebraska | $63 | $223 | 102 | 976 | -5.1% |
| New Mexico | $63 | $230 | 65 | 875 | -5.1% |
| Florida | $63 | $195 | 1,712 | 28,608 | -5.2% |
| Oklahoma | $63 | $231 | 143 | 1,905 | -5.9% |
| Indiana | $62 | $247 | 266 | 2,738 | -6.7% |
| Kentucky | $62 | $213 | 206 | 2,533 | -6.7% |
| Iowa | $62 | $334 | 163 | 1,679 | -6.8% |
| North Dakota | $62 | $199 | 34 | 163 | -7.2% |
| South Carolina | $61 | $202 | 256 | 4,137 | -7.6% |
| Kansas | $61 | $206 | 143 | 2,145 | -7.9% |
| West Virginia | $60 | $201 | 85 | 813 | -9.6% |
| Alabama | $60 | $247 | 242 | 2,882 | -10.0% |
| Minnesota | $60 | $303 | 308 | 1,897 | -10.2% |
| Tennessee | $59 | $199 | 340 | 4,474 | -11.1% |
| Arkansas | $59 | $156 | 135 | 1,907 | -11.3% |
| Montana | $58 | $219 | 72 | 670 | -12.1% |
| Wisconsin | $58 | $576 | 267 | 1,751 | -12.7% |
| Mississippi | $58 | $208 | 92 | 1,682 | -13.2% |
| South Dakota | $50 | $153 | 65 | 775 | -25.1% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber