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Mouthpiece

Rhode Island rates for HCPCS A4617

Mouthpiece

Rates data updated October 2026.

How much does Mouthpiece cost?

$1.95

Typical negotiated rate. In Rhode Island, October 2026.

Insurers have agreed to pay about $1.95 for this service. Most negotiated rates run $1.78 to $2.29.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $9 · 10th to 90th $6 to $10Professionalmedian $2 · 10th to 90th $2 to $2
$2$5$10facility $9professional $2

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
Professional
Modifier
None
Typical Low
$1.78
Median
$1.78
Typical High
$1.91
BCBS Rhode Island
Setting
Facility
Modifier
None
Typical Low
$6.31
Median
$8.71
Typical High
$10.00
BCBS Rhode Island
Setting
Professional
Modifier
None
Typical Low
$1.58
Median
$2.29
Typical High
$2.29
Cigna
Setting
Professional
Modifier
None
Typical Low
$1.82
Median
$1.82
Typical High
$1.82
United
Setting
Professional
Modifier
None
Typical Low
$1.82
Median
$2.14
Typical High
$3.47

Where Rhode Island 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.

Rhode Island· 48th of 51

$1.95

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.