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Diaphragm Or Cervical Cap Fitting And Insertion

Montana 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?

$85.11

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $85.11 for this service. The price depends on where it is billed: about $83.18 from a physician practice, and about $97.72 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$83.18$72.44 to $138
FacilityA hospital or hospital-owned outpatient department$97.72$81.28 to $135

How much rates vary

Facilitymedian $98 · 10th to 90th $79 to $141Professionalmedian $83 · 10th to 90th $52 to $316
$50.0$100.0$200.0$500.0facility $98professional $83

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
$52.48
Median
$81.28
Typical High
$316.23
BCBS
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$74.13
Typical High
$123.03
Cigna
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$74.13
Typical High
$74.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$79.43
Typical High
$123.03
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$81.28
Median
$104.71
Typical High
$141.25
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$104.71
Typical High
$141.25
Providence
Setting
Facility
Modifier
Global
Typical Low
$41.69
Median
$74.13
Typical High
$120.23
Providence
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$81.28
Typical High
$151.36
United
Setting
Facility
Modifier
Global
Typical Low
$93.33
Median
$93.33
Typical High
$93.33
United
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$95.50
Typical High
$165.96

Where Montana 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.

Montana $85.11 · 15th 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.