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Mouthpiece

North Carolina rates for HCPCS A4617

Mouthpiece

Rates data updated July 2026.

How much does Mouthpiece cost?

$3.31

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $3.31 for this service. The price depends on where it is billed: about $3.31 from a physician practice, and about $4.17 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 7 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$3.31$2.69 to $3.63
FacilityA hospital or hospital-owned outpatient department$4.17$3.55 to $5.62

How much rates vary

Facilitymedian $4 · 10th to 90th $3 to $9Professionalmedian $3 · 10th to 90th $2 to $4
$2$5$10$20$50$100facility $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
$3.80
Median
$3.80
Typical High
$3.89
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1.32
Median
$3.02
Typical High
$4.37
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$2.19
Median
$2.19
Typical High
$3.09
BCBS
Setting
Facility
Modifier
Global
Typical Low
$4.07
Median
$6.46
Typical High
$8.71
BCBS
Setting
Professional
Modifier
Global
Typical Low
$3.31
Median
$3.31
Typical High
$3.63
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1.82
Median
$1.82
Typical High
$1.82
Medcost
Setting
Professional
Modifier
Global
Typical Low
$2.34
Median
$2.51
Typical High
$2.95
Medcost
Setting
Facility
Modifier
Global
Typical Low
$2.57
Median
$4.37
Typical High
$8.51
Medcost
Setting
Professional
Modifier
Global
Typical Low
$3.02
Median
$3.02
Typical High
$7.59
United
Setting
Facility
Modifier
Global
Typical Low
$1.41
Median
$2.88
Typical High
$4.47
United
Setting
Professional
Modifier
Global
Typical Low
$1.45
Median
$2.09
Typical High
$3.02
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$89.13
Typical High
$89.13
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$45.71
Typical High
$45.71

Where North Carolina 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.

North Carolina· 6th of 51

$3.31

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.