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Diaphragm Or Cervical Cap Fitting And Insertion

Maine 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 physician fee. In Maine, July 2026.

Insurers have agreed to pay about $75.86 for this service. Most negotiated rates run $60.26 to $105.

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.

How much rates vary

Professionalmedian $76 · 10th to 90th $50 to $126
$50.0$100.0$200.0$500.0$1.0Kprofessional $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
Professional
Modifier
Global
Typical Low
$47.86
Median
$61.66
Typical High
$72.44
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$79.43
Typical High
$123.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$100.00
Typical High
$173.78
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$89.13
Typical High
$141.25
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$61.66
Typical High
$72.44
United
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$87.10
Typical High
$154.88

Where Maine 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.

Maine $75.86 · 29th 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.