go back

Diaphragm Or Cervical Cap Fitting And Insertion

Oklahoma 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.

Facilitymedian $138 · 10th–90th $48$1,5140%10%10th90th$138Professionalmedian $68 · 10th–90th $46$910%10%10th90th$68$50.0$100.0$200.0$500.0$1.0K$2.0K$5.0K

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
Setting
Facility
Modifier
Global
Typical Low
$47.86
Median
$47.86
Typical High
$79.43
Aetna
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$61.66
Typical High
$91.20
BCBS
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$64.57
Typical High
$97.72
Cigna
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$77.62
Typical High
$102.33
Medica
Setting
Facility
Modifier
Global
Typical Low
$51.29
Median
$107.15
Typical High
$1,659.59
Medica
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$85.11
Typical High
$575.44
United
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$549.54
Typical High
$1,548.82
United
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$61.66
Typical High
$93.33