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Mouthpiece

Oregon rates for HCPCS A4617

Mouthpiece

Rates data updated October 2026.

How much does Mouthpiece cost?

$3.47

Typical negotiated rate. In Oregon, October 2026.

Insurers have agreed to pay about $3.47 for this service. The price depends on where it is billed: about $3.39 from a physician practice, and about $4.27 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$3.39$1.82 to $4.57
FacilityA hospital or hospital-owned outpatient department$4.27$3.47 to $4.37

How much rates vary

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

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$1.32
Median
$3.16
Typical High
$3.16
Cigna
Setting
Professional
Modifier
None
Typical Low
$1.82
Median
$1.82
Typical High
$1.82
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$5.25
Median
$8.13
Typical High
$10.47
Moda Health
Setting
Facility
Modifier
None
Typical Low
$3.16
Median
$3.80
Typical High
$4.57
Moda Health
Setting
Professional
Modifier
None
Typical Low
$3.16
Median
$3.31
Typical High
$4.37
Pacific Source
Setting
Facility
Modifier
None
Typical Low
$3.47
Median
$4.27
Typical High
$4.37
Pacific Source
Setting
Professional
Modifier
None
Typical Low
$3.89
Median
$4.37
Typical High
$4.37
Providence
Setting
Facility
Modifier
None
Typical Low
$2.57
Median
$3.80
Typical High
$5.37
Providence
Setting
Professional
Modifier
None
Typical Low
$1.82
Median
$3.55
Typical High
$70.79
Regence BlueShield
Setting
Professional
Modifier
None
Typical Low
$4.47
Median
$4.57
Typical High
$4.90
United
Setting
Professional
Modifier
None
Typical Low
$1.45
Median
$1.82
Typical High
$3.72

Where Oregon 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.

Oregon· 17th of 51

$3.47

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.