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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 October 2026.

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

$191

Typical negotiated rate. In Alaska, October 2026.

Insurers have agreed to pay about $191 for this service. The price depends on where it is billed: about $191 from a physician practice, and about $123 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$191$105 to $316
FacilityA hospital or hospital-owned outpatient department$123$93.33 to $355

How much rates vary

Facilitymedian $123 · 10th to 90th $59 to $955Professionalmedian $191 · 10th to 90th $62 to $331
$20$50$100$200$500$1Kfacility $123professional $191

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
$229.09
Median
$229.09
Typical High
$354.81
Aetna
Setting
Professional
Modifier
None
Typical Low
$48.98
Median
$93.33
Typical High
$354.81
Cigna
Setting
Facility
Modifier
None
Typical Low
$58.88
Median
$97.72
Typical High
$302.00
Cigna
Setting
Professional
Modifier
None
Typical Low
$53.70
Median
$91.20
Typical High
$165.96
Moda Health
Setting
Facility
Modifier
None
Typical Low
$74.13
Median
$229.09
Typical High
$512.86
Moda Health
Setting
Professional
Modifier
None
Typical Low
$60.26
Median
$229.09
Typical High
$457.09
Premera BCBS
Setting
Facility
Modifier
None
Typical Low
$17.38
Median
$97.72
Typical High
$123.03
Premera BCBS
Setting
Professional
Modifier
None
Typical Low
$190.55
Median
$190.55
Typical High
$316.23
Providence
Setting
Facility
Modifier
None
Typical Low
$81.28
Median
$177.83
Typical High
$354.81
Providence
Setting
Professional
Modifier
None
Typical Low
$56.23
Median
$104.71
Typical High
$173.78
United
Setting
Facility
Modifier
None
Typical Low
$478.63
Median
$954.99
Typical High
$1,174.90
United
Setting
Professional
Modifier
None
Typical Low
$72.44
Median
$181.97
Typical High
$331.13

Where Alaska sits

The same service costs 3.1 times more in Wisconsin than in Florida. 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.

Alaska· 2nd of 51

$191

WI $204FL $66.07

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.