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Diaphragm Or Cervical Cap Fitting And Insertion

Louisiana 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?

$79.43

Typical negotiated rate. In Louisiana, October 2026.

Insurers have agreed to pay about $79.43 for this service. The price depends on where it is billed: about $79.43 from a physician practice, and about $89.13 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$79.43$60.26 to $97.72
FacilityA hospital or hospital-owned outpatient department$89.13$54.95 to $324

How much rates vary

Facilitymedian $89 · 10th to 90th $47 to $562Professionalmedian $79 · 10th to 90th $51 to $120
$50$100$200$500$1Kfacility $89professional $79

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$57.54
Median
$63.10
Typical High
$89.13
Aetna
Setting
Professional
Modifier
None
Typical Low
$57.54
Median
$72.44
Typical High
$89.13
BCBS Louisiana
Setting
Facility
Modifier
None
Typical Low
$40.74
Median
$61.66
Typical High
$354.81
BCBS Louisiana
Setting
Professional
Modifier
None
Typical Low
$61.66
Median
$83.18
Typical High
$120.23
Christus
Setting
Facility
Modifier
None
Typical Low
$39.81
Median
$39.81
Typical High
$39.81
Cigna
Setting
Facility
Modifier
None
Typical Low
$40.74
Median
$66.07
Typical High
$100.00
Cigna
Setting
Professional
Modifier
None
Typical Low
$50.12
Median
$81.28
Typical High
$128.82
United
Setting
Facility
Modifier
None
Typical Low
$91.20
Median
$338.84
Typical High
$1,202.26
United
Setting
Professional
Modifier
None
Typical Low
$48.98
Median
$72.44
Typical High
$109.65
4 more rates with less common billing modifiers

A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.

Insurance Carrier
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$28.18
Median
$36.31
Typical High
$44.67
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$11.48
Median
$14.45
Typical High
$17.78
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$8.51
Median
$10.96
Typical High
$13.18
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$5.75
Median
$7.24
Typical High
$8.91

Where Louisiana 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.

Louisiana· 27th of 51

$79.43

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.