go back

Diaphragm Or Cervical Cap Fitting And Insertion

Missouri 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?

$79.43

Typical negotiated rate. In Missouri, July 2026.

Insurers have agreed to pay about $79.43 for this service. The price depends on where it is billed: about $74.13 from a physician practice, and about $3,236 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$74.13$54.95 to $87.10
FacilityA hospital or hospital-owned outpatient department$3,236$912 to $5,012

How much rates vary

Facilitymedian $3,236 · 10th to 90th $72 to $7,079Professionalmedian $74 · 10th to 90th $45 to $132
$10.0$100.0$1.0K$10.0Kfacility $3,236professional $74

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
$36.31
Median
$52.48
Typical High
$74.13
Aetna
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$67.61
Typical High
$177.83
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,238.72
Median
$4,570.88
Typical High
$8,317.64
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$75.86
Typical High
$117.49
BCBS
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$72.44
Typical High
$102.33
Cigna
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$83.18
Typical High
$131.83
Medica
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$102.33
Typical High
$912.01
Medica
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$109.65
Typical High
$575.44
United
Setting
Facility
Modifier
Global
Typical Low
$162.18
Median
$549.54
Typical High
$1,445.44
United
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$72.44
Typical High
$125.89

Where Missouri 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.

Missouri $79.43 · 21st 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.