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Diaphragm Or Cervical Cap Fitting And Insertion

Illinois 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?

$75.86

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $75.86 for this service. The price depends on where it is billed: about $75.86 from a physician practice, and about $110 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 6 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$75.86$57.54 to $105
FacilityA hospital or hospital-owned outpatient department$110$77.62 to $295

How much rates vary

Facilitymedian $110 · 10th to 90th $49 to $813Professionalmedian $76 · 10th to 90th $47 to $138
$50.0$100.0$200.0$500.0$1.0K$2.0Kfacility $110professional $76

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
Facility
Modifier
Global
Typical Low
$48.98
Median
$87.10
Typical High
$109.65
Aetna
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$70.79
Typical High
$117.49
BCBS
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$295.12
Typical High
$954.99
BCBS
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$85.11
Typical High
$141.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$83.18
Typical High
$134.90
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$120.23
Typical High
$251.19
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$61.66
Typical High
$104.71
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$616.60
Typical High
$2,089.30
United
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$81.28
Typical High
$141.25

Where Illinois 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.

Illinois $75.86 · 28th 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.