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New Jersey rates for HCPCS 57170

Diaphragm or cervical cap fitting with instructions

Facilitymedian $933 · 10th–90th $60–$4,5710%5%10th90th$933Professionalmedian $69 · 10th–90th $41–$1380%10%10th90th$69$20.0$100.0$500.0$2.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$46.77 / $81.28 / $131.83
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$40.74 / $67.61 / $128.82
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$48.98 / $85.11 / $190.55
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$74.13 / $87.10 / $138.04
Horizon BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$407.38 / $645.65 / $1,023.29
Horizon BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.90 / $74.13 / $147.91
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,318.26 / $2,630.27 / $6,606.93
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $75.86 / $131.83