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Diaphragm Or Cervical Cap Fitting And Insertion

Connecticut 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?

$93.33

Typical negotiated rate. In Connecticut, October 2026.

Insurers have agreed to pay about $93.33 for this service. The price depends on where it is billed: about $91.20 from a physician practice, and about $1,622 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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$91.20$70.79 to $129
FacilityA hospital or hospital-owned outpatient department$1,622$331 to $3,162

How much rates vary

Facilitymedian $1,622 · 10th to 90th $81 to $5,888Professionalmedian $91 · 10th to 90th $62 to $151
$50$200$1K$5Kfacility $1,622professional $91

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
Professional
Modifier
None
Typical Low
$50.12
Median
$70.79
Typical High
$89.13
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$1,819.70
Median
$3,162.28
Typical High
$7,762.47
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$61.66
Median
$93.33
Typical High
$138.04
Cigna
Setting
Facility
Modifier
None
Typical Low
$50.12
Median
$81.28
Typical High
$104.71
Cigna
Setting
Professional
Modifier
None
Typical Low
$75.86
Median
$104.71
Typical High
$169.82
ConnectiCare
Setting
Professional
Modifier
None
Typical Low
$117.49
Median
$117.49
Typical High
$144.54
United
Setting
Facility
Modifier
None
Typical Low
$251.19
Median
$1,548.82
Typical High
$4,466.84
United
Setting
Professional
Modifier
None
Typical Low
$57.54
Median
$97.72
Typical High
$186.21
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
$33.88
Median
$34.67
Typical High
$43.65
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$13.49
Median
$14.13
Typical High
$17.78
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$10.00
Median
$10.47
Typical High
$13.18
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$6.76
Median
$7.08
Typical High
$8.71

Where Connecticut 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.

Connecticut· 13th of 51

$93.33

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.