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Diaphragm Or Cervical Cap Fitting And Insertion

North Dakota 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?

$102

Typical negotiated rate. In North Dakota, July 2026.

Insurers have agreed to pay about $102 for this service. The price depends on where it is billed: about $105 from a physician practice, and about $70.79 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 5 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$105$72.44 to $151
FacilityA hospital or hospital-owned outpatient department$70.79$47.86 to $70.79

How much rates vary

Facilitymedian $71 · 10th to 90th $42 to $72Professionalmedian $105 · 10th to 90th $48 to $182
$50.0$100.0$200.0$500.0$1.0K$2.0Kfacility $71professional $105

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
$41.69
Median
$47.86
Typical High
$72.44
Aetna
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$70.79
Typical High
$72.44
BCBS
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$123.03
Typical High
$186.21
Cigna
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$112.20
Typical High
$234.42
Medica
Setting
Facility
Modifier
Global
Typical Low
$47.86
Median
$75.86
Typical High
$141.25
Medica
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$109.65
Typical High
$151.36
United
Setting
Facility
Modifier
Global
Typical Low
$1,819.70
Median
$2,041.74
Typical High
$2,041.74
United
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$89.13
Typical High
$165.96

Where North Dakota 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 Dakota $102 · 7th 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.