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Diaphragm Or Cervical Cap Fitting And Insertion

New Hampshire 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?

$87.10

Typical negotiated rate. In New Hampshire, July 2026.

Insurers have agreed to pay about $87.10 for this service. The price depends on where it is billed: about $87.10 from a physician practice, and about $1,288 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$87.10$64.57 to $123
FacilityA hospital or hospital-owned outpatient department$1,288$257 to $1,479

How much rates vary

Facilitymedian $1,288 · 10th to 90th $178 to $2,630Professionalmedian $87 · 10th to 90th $49 to $162
$50.0$100.0$200.0$500.0$1.0K$2.0K$5.0Kfacility $1,288professional $87

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
$177.83
Median
$177.83
Typical High
$257.04
Aetna
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$61.66
Typical High
$70.79
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,288.25
Median
$1,412.54
Typical High
$2,630.27
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$79.43
Typical High
$144.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$109.65
Typical High
$190.55
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$7,413.10
Median
$7,413.10
Typical High
$7,413.10
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$91.20
Typical High
$181.97
United
Setting
Facility
Modifier
Global
Typical Low
$7,413.10
Median
$7,413.10
Typical High
$7,413.10
United
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$97.72
Typical High
$190.55

Where New Hampshire 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.

New Hampshire $87.10 · 14th 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.