go back

Mouthpiece

North Dakota rates for HCPCS A4617

Mouthpiece

Rates data updated July 2026.

How much does Mouthpiece cost?

$3.16

Typical negotiated rate. In North Dakota, July 2026.

Insurers have agreed to pay about $3.16 for this service. The price depends on where it is billed: about $3.16 from a physician practice, and about $3.16 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 5 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$3.16$1.91 to $4.79
FacilityA hospital or hospital-owned outpatient department$3.16$2.75 to $3.39

How much rates vary

Facilitymedian $3 · 10th to 90th $3 to $6Professionalmedian $3 · 10th to 90th $1 to $5
$2$5$10$20$50$100facility $3professional $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
$2.75
Median
$3.16
Typical High
$3.16
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1.26
Median
$2.24
Typical High
$3.55
BCBS
Setting
Professional
Modifier
Global
Typical Low
$3.63
Median
$4.79
Typical High
$5.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1.82
Median
$4.90
Typical High
$6.17
Medica
Setting
Facility
Modifier
Global
Typical Low
$2.24
Median
$3.47
Typical High
$8.91
Medica
Setting
Professional
Modifier
Global
Typical Low
$1.74
Median
$2.14
Typical High
$44.67
United
Setting
Facility
Modifier
Global
Typical Low
$2.40
Median
$2.40
Typical High
$2.40
United
Setting
Professional
Modifier
Global
Typical Low
$1.45
Median
$2.34
Typical High
$5.37

Where North Dakota 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 Dakota· 7th of 51

$3.16

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.