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Mouthpiece

South Carolina rates for HCPCS A4617

Mouthpiece

Rates data updated October 2026.

How much does Mouthpiece cost?

$3.47

Typical negotiated rate. In South Carolina, October 2026.

Insurers have agreed to pay about $3.47 for this service. The price depends on where it is billed: about $3.47 from a physician practice, and about $3.98 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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$3.47$2.14 to $4.47
FacilityA hospital or hospital-owned outpatient department$3.98$3.47 to $4.47

How much rates vary

Facilitymedian $4 · 10th to 90th $2 to $5Professionalmedian $3 · 10th to 90th $2 to $4
$0.5$1$2$5$10facility $4professional $3

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
$3.47
Median
$3.47
Typical High
$3.47
Aetna
Setting
Professional
Modifier
None
Typical Low
$2.69
Median
$3.47
Typical High
$3.80
Ambetter
Setting
Professional
Modifier
None
Typical Low
$3.09
Median
$3.09
Typical High
$4.47
BCBS South Carolina
Setting
Facility
Modifier
None
Typical Low
$3.98
Median
$4.47
Typical High
$4.47
BCBS South Carolina
Setting
Professional
Modifier
None
Typical Low
$4.47
Median
$4.47
Typical High
$4.47
Cigna
Setting
Professional
Modifier
None
Typical Low
$1.82
Median
$1.82
Typical High
$1.82
Medcost
Setting
Professional
Modifier
None
Typical Low
$2.51
Median
$2.51
Typical High
$2.95
Medcost
Setting
Facility
Modifier
None
Typical Low
$1.38
Median
$3.63
Typical High
$5.37
Medcost
Setting
Professional
Modifier
None
Typical Low
$3.24
Median
$3.80
Typical High
$5.25
Medcost
Setting
Professional
Modifier
51 · Multiple procedures
Typical Low
$1.62
Median
$1.86
Typical High
$3.09
United
Setting
Professional
Modifier
None
Typical Low
$1.51
Median
$2.14
Typical High
$3.24

Where South Carolina 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.

South Carolina· 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.