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Diaphragm Or Cervical Cap Fitting And Insertion

Arkansas 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?

$77.62

Typical negotiated rate. In Arkansas, October 2026.

Insurers have agreed to pay about $77.62 for this service. The price depends on where it is billed: about $72.44 from a physician practice, and about $182 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 4 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$72.44$56.23 to $95.50
FacilityA hospital or hospital-owned outpatient department$182$50.12 to $182

How much rates vary

Facilitymedian $182 · 10th to 90th $42 to $288Professionalmedian $72 · 10th to 90th $47 to $110
$50$100$200$500facility $182professional $72

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$56.23
Median
$69.18
Typical High
$69.18
Aetna
Setting
Professional
Modifier
None
Typical Low
$56.23
Median
$67.61
Typical High
$72.44
BCBS Arkansas
Setting
Facility
Modifier
None
Typical Low
$41.69
Median
$181.97
Typical High
$245.47
BCBS Arkansas
Setting
Professional
Modifier
None
Typical Low
$46.77
Median
$63.10
Typical High
$102.33
Cigna
Setting
Facility
Modifier
None
Typical Low
$33.11
Median
$35.48
Typical High
$100.00
Cigna
Setting
Professional
Modifier
None
Typical Low
$57.54
Median
$85.11
Typical High
$117.49
United
Setting
Facility
Modifier
None
Typical Low
$79.43
Median
$131.83
Typical High
$707.95
United
Setting
Professional
Modifier
None
Typical Low
$44.67
Median
$69.18
Typical High
$128.82
4 more rates with less common billing modifiers

A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.

Insurance Carrier
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$28.18
Median
$33.88
Typical High
$37.15
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$11.22
Median
$13.49
Typical High
$15.14
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$8.51
Median
$10.00
Typical High
$11.22
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$5.62
Median
$6.76
Typical High
$7.41

Where Arkansas 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.

Arkansas· 32nd of 51

$77.62

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.