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North Carolina rates for HCPCS 57170

Diaphragm or cervical cap fitting with instructions

Facilitymedian $93 · 10th–90th $51$3630%10%10th90th$93Professionalmedian $76 · 10th–90th $46$1550%10%10th90th$76$50.0$100.0$200.0$500.0$1.0K$2.0K

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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$69.18 / $93.33 / $223.87
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$45.71 / $72.44 / $144.54
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $114.82 / $177.83
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $97.72 / $158.49
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$46.77 / $77.62 / $134.90
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $50.12 / $181.97
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$173.78 / $776.25 / $1,949.84
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$47.86 / $75.86 / $134.90
Wellcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56.23 / $1,288.25 / $1,288.25
Wellcare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$549.54 / $549.54 / $645.65