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Diaphragm Or Cervical Cap Fitting And Insertion

North Carolina 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?

$77.62

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $77.62 for this service. The price depends on where it is billed: about $77.62 from a physician practice, and about $93.33 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$77.62$60.26 to $117
FacilityA hospital or hospital-owned outpatient department$93.33$70.79 to $182

How much rates vary

Facilitymedian $93 · 10th to 90th $47 to $513Professionalmedian $78 · 10th to 90th $47 to $162
$50.0$100.0$200.0$500.0$1.0K$2.0Kfacility $93professional $78

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
$46.77
Median
$93.33
Typical High
$223.87
Aetna
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$74.13
Typical High
$154.88
BCBS
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$114.82
Typical High
$177.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$97.72
Typical High
$158.49
Medcost
Setting
Facility
Modifier
Global
Typical Low
$46.77
Median
$77.62
Typical High
$134.90
Medcost
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$50.12
Typical High
$181.97
United
Setting
Facility
Modifier
Global
Typical Low
$363.08
Median
$891.25
Typical High
$2,089.30
United
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$72.44
Typical High
$131.83
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$1,288.25
Typical High
$1,288.25
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$549.54
Typical High
$645.65

Where North Carolina 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.

North Carolina $77.62 · 27th 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.