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Diaphragm Or Cervical Cap Fitting And Insertion

Hawaii 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?

$61.66

Typical physician fee. In Hawaii, July 2026.

Insurers have agreed to pay about $61.66 for this service. Most negotiated rates run $48.98 to $72.44.

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 $1,122 · 10th to 90th $1,122 to $1,122Professionalmedian $62 · 10th to 90th $48 to $110
$20.0$50.0$100.0$200.0$500.0$1.0Kfacility $1,122professional $62

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$61.66
Typical High
$66.07
Cigna
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$60.26
Typical High
$97.72
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$77.62
Typical High
$107.15
United
Setting
Facility
Modifier
Global
Typical Low
$1,122.02
Median
$1,122.02
Typical High
$1,122.02
United
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$81.28
Typical High
$114.82
University Health Alliance
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$61.66
Typical High
$109.65

Where Hawaii 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.

Hawaii $61.66 · 50th 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.