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Diaphragm Or Cervical Cap Fitting And Insertion

Indiana 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?

$77.62

Typical negotiated rate. In Indiana, July 2026.

Insurers have agreed to pay about $77.62 for this service. The price depends on where it is billed: about $72.44 from a physician practice, and about $3,890 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 5 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$72.44$53.70 to $89.13
FacilityA hospital or hospital-owned outpatient department$3,890$2,951 to $5,495

How much rates vary

Facilitymedian $3,890 · 10th to 90th $117 to $8,318Professionalmedian $72 · 10th to 90th $47 to $123
$50.0$200.0$1.0K$5.0Kfacility $3,890professional $72

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
$52.48
Median
$66.07
Typical High
$117.49
Aetna
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$67.61
Typical High
$85.11
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,570.40
Median
$4,365.16
Typical High
$8,317.64
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$93.33
Typical High
$165.96
CareSource
Setting
Facility
Modifier
Global
Typical Low
$44.67
Median
$46.77
Typical High
$52.48
Cigna
Setting
Facility
Modifier
Global
Typical Low
$53.70
Median
$53.70
Typical High
$53.70
Cigna
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$79.43
Typical High
$165.96
United
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$2,137.96
Typical High
$5,754.40
United
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$70.79
Typical High
$114.82

Where Indiana 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.

Indiana $77.62 · 26th 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.