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Mouthpiece

Alaska rates for HCPCS A4617

Mouthpiece

Rates data updated July 2026.

How much does Mouthpiece cost?

$3.80

Typical negotiated rate. In Alaska, July 2026.

Insurers have agreed to pay about $3.80 for this service. The price depends on where it is billed: about $3.80 from a physician practice, and about $3.55 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$3.80$2.63 to $4.27
FacilityA hospital or hospital-owned outpatient department$3.55$1.38 to $4.47

How much rates vary

Facilitymedian $4 · 10th to 90th $1 to $7Professionalmedian $4 · 10th to 90th $2 to $5
$2$5$10facility $4professional $4

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
$8.71
Median
$8.71
Typical High
$8.71
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1.86
Median
$3.31
Typical High
$4.37
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1.82
Median
$1.82
Typical High
$1.82
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$1.38
Median
$3.55
Typical High
$6.31
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$3.98
Median
$4.47
Typical High
$15.14
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$3.80
Median
$4.27
Typical High
$4.27
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$3.63
Median
$4.27
Typical High
$4.27
Providence
Setting
Facility
Modifier
Global
Typical Low
$1.38
Median
$3.24
Typical High
$6.46
Providence
Setting
Professional
Modifier
Global
Typical Low
$1.82
Median
$3.39
Typical High
$60.26
United
Setting
Facility
Modifier
Global
Typical Low
$1.45
Median
$2.14
Typical High
$2.88
United
Setting
Professional
Modifier
Global
Typical Low
$1.51
Median
$2.14
Typical High
$8.13

Where Alaska sits

The same service costs 2.3 times more in Minnesota than in Rhode Island. 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.

Alaska· 3rd of 51

$3.80

MN $4.37RI $1.91

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.