go back

Diaphragm Or Cervical Cap Fitting And Insertion

Mississippi 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.

Facilitymedian $457 · 10th–90th $46$1,3800%5%10%10th90th$457Professionalmedian $69 · 10th–90th $42$1200%10%10th90th$69$50.0$200.0$1.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$38.90
Median
$61.66
Typical High
$158.49
Aetna
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$69.18
Typical High
$117.49
BCBS
Setting
Facility
Modifier
Global
Typical Low
$45.71
Median
$45.71
Typical High
$45.71
BCBS
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$151.36
Typical High
$151.36
Cigna
Setting
Facility
Modifier
Global
Typical Low
$41.69
Median
$41.69
Typical High
$229.09
Cigna
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$81.28
Typical High
$123.03
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$537.03
Typical High
$1,479.11
United
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$74.13
Typical High
$147.91