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Diaphragm Or Cervical Cap Fitting And Insertion

Arizona 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?

$67.61

Typical negotiated rate. In Arizona, July 2026.

Insurers have agreed to pay about $67.61 for this service. The price depends on where it is billed: about $67.61 from a physician practice, and about $74.13 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 5 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$67.61$52.48 to $87.10
FacilityA hospital or hospital-owned outpatient department$74.13$42.66 to $724

How much rates vary

Facilitymedian $74 · 10th to 90th $26 to $1,862Professionalmedian $68 · 10th to 90th $42 to $245
$10.0$50.0$200.0$1.0Kfacility $74professional $68

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
Professional
Modifier
Global
Typical Low
$41.69
Median
$67.61
Typical High
$269.15
BCBS
Setting
Facility
Modifier
Global
Typical Low
$8.71
Median
$34.67
Typical High
$67.61
BCBS
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$85.11
Typical High
$346.74
Cigna
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$74.13
Typical High
$74.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$74.13
Typical High
$125.89
Medica
Setting
Facility
Modifier
Global
Typical Low
$45.71
Median
$83.18
Typical High
$1,445.44
Medica
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$87.10
Typical High
$575.44
United
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$954.99
Typical High
$2,137.96
United
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$66.07
Typical High
$114.82

Where Arizona 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.

Arizona $67.61 · 44th 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.