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Mouthpiece

Virginia rates for HCPCS A4617

Mouthpiece

Rates data updated July 2026.

How much does Mouthpiece cost?

$2.69

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $2.69 for this service. The price depends on where it is billed: about $2.69 from a physician practice, and about $3.89 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 8 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$2.69$2.14 to $3.16
FacilityA hospital or hospital-owned outpatient department$3.89$3.09 to $5.37

How much rates vary

Facilitymedian $4 · 10th to 90th $3 to $9Professionalmedian $3 · 10th to 90th $2 to $4
$1$10$100$1K$10Kfacility $4professional $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
$2.69
Median
$2.69
Typical High
$2.95
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1.38
Median
$2.69
Typical High
$3.80
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$2.14
Median
$2.14
Typical High
$3.16
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$2.82
Median
$2.82
Typical High
$2.82
Cigna
Setting
Facility
Modifier
Global
Typical Low
$6.76
Median
$6.76
Typical High
$6.76
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1.82
Median
$1.82
Typical High
$1.82
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$3.55
Median
$4.47
Typical High
$6.46
Medcost
Setting
Professional
Modifier
Global
Typical Low
$2.51
Median
$2.95
Typical High
$2.95
Medcost
Setting
Facility
Modifier
Global
Typical Low
$2.51
Median
$3.89
Typical High
$7.41
Medcost
Setting
Professional
Modifier
Global
Typical Low
$2.34
Median
$2.34
Typical High
$3.02
Sentara
Setting
Facility
Modifier
Global
Typical Low
$3.24
Median
$4.07
Typical High
$10.00
Sentara
Setting
Professional
Modifier
Global
Typical Low
$3.24
Median
$4.07
Typical High
$10.00
United
Setting
Facility
Modifier
Global
Typical Low
$1.38
Median
$1.82
Typical High
$2.88
United
Setting
Professional
Modifier
Global
Typical Low
$1.82
Median
$2.14
Typical High
$3.63

Where Virginia 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.

Virginia· 27th of 51

$2.69

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.