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Diaphragm Or Cervical Cap Fitting And Insertion

Oregon 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?

$115

Typical negotiated rate. In Oregon, July 2026.

Insurers have agreed to pay about $115 for this service. The price depends on where it is billed: about $110 from a physician practice, and about $129 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$110$77.62 to $155
FacilityA hospital or hospital-owned outpatient department$129$91.20 to $151

How much rates vary

Facilitymedian $129 · 10th to 90th $69 to $191Professionalmedian $110 · 10th to 90th $59 to $214
$10.0$50.0$200.0$1.0K$5.0Kfacility $129professional $110

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
$104.71
Median
$117.49
Typical High
$199.53
Aetna
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$89.13
Typical High
$245.47
Cigna
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$120.23
Typical High
$204.17
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$120.23
Typical High
$173.78
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$91.20
Typical High
$147.91
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$109.65
Typical High
$165.96
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$81.28
Median
$134.90
Typical High
$151.36
Providence
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$91.20
Typical High
$151.36
Providence
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$114.82
Typical High
$194.98
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$645.65
Typical High
$794.33
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$144.54
Typical High
$213.80
United
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$1,122.02
Typical High
$5,128.61
United
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$117.49
Typical High
$199.53

Where Oregon 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.

Oregon $115 · 5th 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.