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Diaphragm Or Cervical Cap Fitting And Insertion

Ohio 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?

$74.13

Typical negotiated rate. In Ohio, July 2026.

Insurers have agreed to pay about $74.13 for this service. The price depends on where it is billed: about $72.44 from a physician practice, and about $209 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 8 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$72.44$51.29 to $91.20
FacilityA hospital or hospital-owned outpatient department$209$89.13 to $1,622

How much rates vary

Facilitymedian $209 · 10th to 90th $55 to $2,512Professionalmedian $72 · 10th to 90th $46 to $123
$1.0$10.0$100.0$1.0K$10.0Kfacility $209professional $72

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
$48.98
Median
$91.20
Typical High
$208.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$70.79
Typical High
$91.20
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$2,137.96
Typical High
$3,981.07
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$79.43
Typical High
$138.04
CareSource
Setting
Facility
Modifier
Global
Typical Low
$44.67
Median
$46.77
Typical High
$53.70
Cigna
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$74.13
Typical High
$21,379.62
Cigna
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$85.11
Typical High
$141.25
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$21,379.62
Median
$21,379.62
Typical High
$21,379.62
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$87.10
Typical High
$144.54
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$72.44
Typical High
$138.04
United
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$707.95
Typical High
$2,818.38
United
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$69.18
Typical High
$120.23

Where Ohio 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.

Ohio $74.13 · 31st 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.