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Diaphragm Or Cervical Cap Fitting And Insertion

Iowa 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.

Facilitymedian $166 · 10th–90th $58$1,6220%10%10th90th$166Professionalmedian $81 · 10th–90th $46$1910%5%10%10th90th$81$5.0$20.0$100.0$500.0$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$57.54
Median
$57.54
Typical High
$93.33
Aetna
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$72.44
Typical High
$190.55
Cigna
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$169.82
Typical High
$223.87
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$131.83
Typical High
$213.80
Medica
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$169.82
Typical High
$1,380.38
Medica
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$141.25
Typical High
$346.74
Midlands
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$165.96
Typical High
$213.80
Midlands
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$128.82
Typical High
$213.80
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$3.02
Median
$120.23
Typical High
$204.17
United
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$1,023.29
Typical High
$2,344.23
United
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$95.50
Typical High
$181.97
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$104.71
Typical High
$173.78