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Diaphragm Or Cervical Cap Fitting And Insertion

Nebraska 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?

$115

Typical negotiated rate. In Nebraska, July 2026.

Insurers have agreed to pay about $115 for this service. The price depends on where it is billed: about $115 from a physician practice, and about $302 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$115$72.44 to $191
FacilityA hospital or hospital-owned outpatient department$302$91.20 to $1,778

How much rates vary

Facilitymedian $302 · 10th to 90th $72 to $3,311Professionalmedian $115 · 10th to 90th $44 to $316
$50$100$200$500$1K$2K$5Kfacility $302professional $115

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
$43.65
Median
$43.65
Typical High
$72.44
Aetna
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$147.91
Typical High
$436.52
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,621.81
Median
$2,089.30
Typical High
$4,073.80
BCBS
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$83.18
Typical High
$144.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$141.25
Typical High
$181.97
Medica
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$123.03
Typical High
$1,230.27
Medica
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$131.83
Typical High
$575.44
Midlands
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$147.91
Typical High
$190.55
Midlands
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$102.33
Typical High
$169.82
United
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$302.00
Typical High
$3,801.89
United
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$107.15
Typical High
$173.78

Where Nebraska sits

The same service costs 3.2 times more in Alaska than in Florida. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Nebraska· 6th of 51

$115

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.