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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 July 2026.

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

$67.61

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $67.61 for this service. The price depends on where it is billed: about $67.61 from a physician practice, and about $708 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$67.61$47.86 to $81.28
FacilityA hospital or hospital-owned outpatient department$708$75.86 to $2,692

How much rates vary

Facilitymedian $708 · 10th to 90th $51 to $4,571Professionalmedian $68 · 10th to 90th $42 to $126
$50.0$200.0$1.0K$5.0Kfacility $708professional $68

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
$47.86
Median
$69.18
Typical High
$131.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$60.26
Typical High
$81.28
Cigna
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$81.28
Typical High
$162.18
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$87.10
Typical High
$138.04
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$407.38
Median
$758.58
Typical High
$1,047.13
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$74.13
Typical High
$147.91
United
Setting
Facility
Modifier
Global
Typical Low
$1,148.15
Median
$2,754.23
Typical High
$6,760.83
United
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$75.86
Typical High
$131.83

Where New Jersey 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 Jersey $67.61 · 46th 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.