go back

Mouthpiece

Michigan rates for HCPCS A4617

Mouthpiece

Rates data updated July 2026.

How much does Mouthpiece cost?

$2.82

Typical negotiated rate. In Michigan, July 2026.

Insurers have agreed to pay about $2.82 for this service. The price depends on where it is billed: about $2.75 from a physician practice, and about $4.47 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$2.75$1.95 to $3.63
FacilityA hospital or hospital-owned outpatient department$4.47$3.31 to $11.75

How much rates vary

Facilitymedian $4 · 10th to 90th $2 to $19Professionalmedian $3 · 10th to 90th $1 to $4
$0.5$1$2$5$10$20facility $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
$3.31
Median
$3.31
Typical High
$3.31
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1.32
Median
$2.69
Typical High
$3.72
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$2.19
Median
$3.09
Typical High
$8.51
BCBS
Setting
Facility
Modifier
Global
Typical Low
$4.47
Median
$11.75
Typical High
$23.44
BCBS
Setting
Professional
Modifier
Global
Typical Low
$4.07
Median
$4.37
Typical High
$4.57
CareSource
Setting
Facility
Modifier
Global
Typical Low
$2.82
Median
$2.82
Typical High
$2.82
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1.82
Median
$3.55
Typical High
$4.90
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$0.23
Median
$3.02
Typical High
$9.12
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$1.38
Median
$3.02
Typical High
$5.25
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$3.63
Median
$3.63
Typical High
$3.63
United
Setting
Facility
Modifier
Global
Typical Low
$1.26
Median
$2.04
Typical High
$3.02
United
Setting
Professional
Modifier
Global
Typical Low
$1.45
Median
$2.04
Typical High
$3.63

Where Michigan 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.

Michigan· 18th of 51

$2.82

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.