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Diaphragm Or Cervical Cap Fitting And Insertion

Alabama 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.

Facilitymedian $372 · 10th–90th $269$1,1220%10%10th90th$372Professionalmedian $68 · 10th–90th $42$1150%10%10th90th$68$50.0$100.0$200.0$500.0$1.0K$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$67.61
Typical High
$114.82
BCBS
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$323.59
Typical High
$436.52
BCBS
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$61.66
Typical High
$91.20
Cigna
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$75.86
Typical High
$123.03
United
Setting
Facility
Modifier
Global
Typical Low
$239.88
Median
$549.54
Typical High
$1,348.96
United
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$60.26
Typical High
$104.71