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Diaphragm Or Cervical Cap Fitting And Insertion

Michigan 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?

$67.61

Typical negotiated rate. In Michigan, July 2026.

Insurers have agreed to pay about $67.61 for this service. The price depends on where it is billed: about $67.61 from a physician practice, and about $95.50 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$67.61$52.48 to $83.18
FacilityA hospital or hospital-owned outpatient department$95.50$69.18 to $646

How much rates vary

Facilitymedian $95 · 10th to 90th $58 to $1,445Professionalmedian $68 · 10th to 90th $42 to $95
$10.0$50.0$200.0$1.0K$5.0Kfacility $95professional $68

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
$57.54
Median
$60.26
Typical High
$91.20
Aetna
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$60.26
Typical High
$91.20
BCBS
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$64.57
BCBS
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$64.57
Typical High
$120.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$69.18
Typical High
$114.82
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$57.54
Median
$162.18
Typical High
$190.55
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$75.86
Typical High
$112.20
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$234.42
Typical High
$234.42
United
Setting
Facility
Modifier
Global
Typical Low
$162.18
Median
$645.65
Typical High
$1,862.09
United
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$74.13
Typical High
$107.15

Where Michigan 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.

Michigan $67.61 · 41st 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.