go back

Diaphragm Or Cervical Cap Fitting And Insertion

Alaska rates for HCPCS 57170

This is the fitting and insertion of a diaphragm or cervical cap, barrier methods of birth control that are placed inside the vagina before intercourse to prevent pregnancy. A clinician determines the correct size, inserts the device to confirm proper fit, and provides instructions on how to use, insert, and remove it correctly. It's a one-time office visit for fitting, separate from any device purchased afterward.

Rates data updated July 2026.

How much does Diaphragm Or Cervical Cap Fitting And Insertion cost?

$191

Typical negotiated rate. In Alaska, July 2026.

Insurers have agreed to pay about $191 for this service. The price depends on where it is billed: about $209 from a physician practice, and about $95.50 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 6 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$209$97.72 to $316
FacilityA hospital or hospital-owned outpatient department$95.50$72.44 to $229

How much rates vary

Facilitymedian $95 · 10th to 90th $55 to $355Professionalmedian $209 · 10th to 90th $54 to $355
$50.0$100.0$200.0$500.0facility $95professional $209

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. 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
Global
Typical Low
$144.54
Median
$162.18
Typical High
$239.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$120.23
Typical High
$354.81
Cigna
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$91.20
Typical High
$165.96
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$53.70
Median
$93.33
Typical High
$354.81
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$218.78
Typical High
$512.86
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$316.23
Typical High
$354.81
Providence
Setting
Facility
Modifier
Global
Typical Low
$53.70
Median
$93.33
Typical High
$354.81
Providence
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$104.71
Typical High
$173.78
United
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$131.83
Typical High
$331.13

Where Alaska sits

The same service costs 3.2 times more in Alaska than in Florida. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Alaska $191 · 1st of 51
AK $191FL $58.88

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.