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Diaphragm Or Cervical Cap Fitting And Insertion

New Jersey 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 October 2026.

How much does Diaphragm Or Cervical Cap Fitting And Insertion cost?

$75.86

Typical negotiated rate. In New Jersey, October 2026.

Insurers have agreed to pay about $75.86 for this service. The price depends on where it is billed: about $69.18 from a physician practice, and about $525 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$69.18$50.12 to $95.50
FacilityA hospital or hospital-owned outpatient department$525$141 to $1,660

How much rates vary

Facilitymedian $525 · 10th to 90th $66 to $3,236Professionalmedian $69 · 10th to 90th $46 to $145
$50$100$200$500$1K$2K$5Kfacility $525professional $69

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$47.86
Median
$50.12
Typical High
$69.18
Aetna
Setting
Professional
Modifier
None
Typical Low
$47.86
Median
$63.10
Typical High
$95.50
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$23.99
Median
$30.20
Typical High
$34.67
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$9.55
Median
$12.02
Typical High
$13.80
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$7.24
Median
$8.91
Typical High
$10.47
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$4.79
Median
$6.03
Typical High
$6.92
Cigna
Setting
Facility
Modifier
None
Typical Low
$43.65
Median
$75.86
Typical High
$354.81
Cigna
Setting
Professional
Modifier
None
Typical Low
$41.69
Median
$74.13
Typical High
$151.36
Emblem Health
Setting
Professional
Modifier
None
Typical Low
$79.43
Median
$117.49
Typical High
$117.49
Horizon BCBS
Setting
Facility
Modifier
None
Typical Low
$77.62
Median
$141.25
Typical High
$758.58
Horizon BCBS
Setting
Professional
Modifier
None
Typical Low
$45.71
Median
$81.28
Typical High
$190.55
United
Setting
Facility
Modifier
None
Typical Low
$316.23
Median
$1,380.38
Typical High
$3,801.89
United
Setting
Professional
Modifier
None
Typical Low
$45.71
Median
$74.13
Typical High
$128.82

Where New Jersey sits

The same service costs 3.1 times more in Wisconsin 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.

New Jersey· 34th of 51

$75.86

WI $204FL $66.07

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.