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Diaphragm Or Cervical Cap Fitting And Insertion

New York 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?

$79.43

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $79.43 for this service. The price depends on where it is billed: about $77.62 from a physician practice, and about $89.13 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 9 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$77.62$61.66 to $112
FacilityA hospital or hospital-owned outpatient department$89.13$63.10 to $182

How much rates vary

Facilitymedian $89 · 10th to 90th $54 to $2,818Professionalmedian $78 · 10th to 90th $48 to $182
$100.0$1.0K$10.0Kfacility $89professional $78

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
$53.70
Median
$69.18
Typical High
$109.65
Aetna
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$69.18
Typical High
$162.18
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$89.13
Typical High
$173.78
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$67.61
Median
$67.61
Typical High
$4,073.80
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$67.61
Typical High
$107.15
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$74.13
Typical High
$74.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$107.15
Typical High
$275.42
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$44.67
Median
$53.70
Typical High
$158.49
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$112.20
Typical High
$151.36
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$107.15
Typical High
$165.96
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$50,118.72
Median
$53,703.18
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$107.15
Typical High
$398.11
United
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$2,511.89
Typical High
$4,897.79
United
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$91.20
Typical High
$199.53
Univera
Setting
Facility
Modifier
Global
Typical Low
$38.02
Median
$53.70
Typical High
$173.78
Univera
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$100.00
Typical High
$162.18

Where New York 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 York $79.43 · 22nd 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.