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Mouthpiece

Massachusetts rates for HCPCS A4617

Mouthpiece

Rates data updated July 2026.

How much does Mouthpiece cost?

$2.95

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $2.95 for this service. The price depends on where it is billed: about $2.95 from a physician practice, and about $4.07 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 8 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$2.95$1.95 to $3.80
FacilityA hospital or hospital-owned outpatient department$4.07$1.91 to $67.61

How much rates vary

Facilitymedian $4 · 10th to 90th $2 to $89Professionalmedian $3 · 10th to 90th $2 to $4
$10$100$1K$10Kfacility $4professional $3

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
$1.91
Median
$1.91
Typical High
$1.91
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1.32
Median
$2.40
Typical High
$4.07
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$3.80
Median
$4.27
Typical High
$89.13
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$1.78
Median
$3.02
Typical High
$45.71
Cigna
Setting
Facility
Modifier
Global
Typical Low
$5.01
Median
$5.01
Typical High
$5.01
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1.82
Median
$1.82
Typical High
$2.75
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$87.10
Typical High
$7,079.46
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$3.55
Median
$3.80
Typical High
$3.80
Health New England
Setting
Professional
Modifier
Global
Typical Low
$2.24
Median
$2.24
Typical High
$2.24
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$3.80
Median
$4.27
Typical High
$89.13
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$1.78
Median
$3.02
Typical High
$45.71
United
Setting
Facility
Modifier
Global
Typical Low
$1.41
Median
$2.19
Typical High
$4.47
United
Setting
Professional
Modifier
Global
Typical Low
$1.82
Median
$3.80
Typical High
$4.47

Where Massachusetts 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.

Massachusetts· 15th of 51

$2.95

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.