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Diaphragm Or Cervical Cap Fitting And Insertion

Washington, DC 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?

$67.61

Typical physician fee. In Washington, DC, October 2026.

Insurers have agreed to pay about $67.61 for this service. Most negotiated rates run $47.86 to $126.

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.

How much rates vary

Facilitymedian $457 · 10th to 90th $40 to $1,549Professionalmedian $68 · 10th to 90th $40 to $209
$50$100$200$500$1K$2K$5Kfacility $457professional $68

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
$39.81
Median
$39.81
Typical High
$67.61
Aetna
Setting
Professional
Modifier
None
Typical Low
$39.81
Median
$60.26
Typical High
$67.61
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$19.95
Median
$30.20
Typical High
$33.88
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$7.94
Median
$12.02
Typical High
$13.49
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$5.89
Median
$8.91
Typical High
$10.00
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$3.98
Median
$6.03
Typical High
$6.76
CareFirst
Setting
Professional
Modifier
None
Typical Low
$47.86
Median
$53.70
Typical High
$645.65
Cigna
Setting
Professional
Modifier
None
Typical Low
$42.66
Median
$74.13
Typical High
$208.93
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$77.62
Median
$81.28
Typical High
$181.97
United
Setting
Facility
Modifier
None
Typical Low
$109.65
Median
$549.54
Typical High
$1,548.82
United
Setting
Professional
Modifier
None
Typical Low
$44.67
Median
$93.33
Typical High
$199.53

Where Washington, DC 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.

Washington, DC· 47th of 51

$67.61

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.