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Mouthpiece

North Dakota rates for HCPCS A4617

Mouthpiece

Rates data updated October 2026.

How much does Mouthpiece cost?

$4.17

Typical negotiated rate. In North Dakota, October 2026.

Insurers have agreed to pay about $4.17 for this service. Most negotiated rates run $3.16 to $4.90.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $3 · 10th to 90th $3 to $9Professionalmedian $4 · 10th to 90th $2 to $6
$2$5$10$20$50$100facility $3professional $4

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$3.16
Median
$3.16
Typical High
$3.16
Aetna
Setting
Professional
Modifier
None
Typical Low
$1.38
Median
$3.16
Typical High
$3.24
BCBS North Dakota
Setting
Professional
Modifier
None
Typical Low
$3.63
Median
$4.90
Typical High
$4.90
BCBS North Dakota
Setting
Professional
Modifier
22 · Increased work
Typical Low
$4.37
Median
$5.89
Typical High
$5.89
BCBS North Dakota
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$0.72
Median
$0.98
Typical High
$0.98
Cigna
Setting
Professional
Modifier
None
Typical Low
$4.90
Median
$4.90
Typical High
$6.03
Medica
Setting
Facility
Modifier
None
Typical Low
$2.75
Median
$3.16
Typical High
$89.13
Medica
Setting
Professional
Modifier
None
Typical Low
$1.74
Median
$2.88
Typical High
$44.67
United
Setting
Professional
Modifier
None
Typical Low
$1.45
Median
$2.04
Typical High
$3.47

Where North Dakota sits

The same service costs 2.6 times more in Hawaii than in California. 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 Dakota· 8th of 51

$4.17

HI $4.79CA $1.82

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.