go back

Diaphragm Or Cervical Cap Fitting And Insertion

Pennsylvania 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?

$67.61

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $67.61 for this service. The price depends on where it is billed: about $66.07 from a physician practice, and about $204 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$66.07$47.86 to $75.86
FacilityA hospital or hospital-owned outpatient department$204$70.79 to $468

How much rates vary

Facilitymedian $204 · 10th to 90th $42 to $1,175Professionalmedian $66 · 10th to 90th $42 to $145
$10.0$100.0$1.0K$10.0Kfacility $204professional $66

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
$41.69
Median
$41.69
Typical High
$70.79
Aetna
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$63.10
Typical High
$245.47
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$1,174.90
Median
$1,258.93
Typical High
$57,543.99
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$79.43
Typical High
$97.72
Cigna
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$77.62
Typical High
$128.82
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$117.49
Typical High
$125.89
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$38.02
Median
$38.02
Typical High
$38.02
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$97.72
Typical High
$141.25
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$41.69
Median
$41.69
Typical High
$70.79
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$67.61
Typical High
$125.89
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$93.33
Typical High
$100.00
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$87.10
Median
$275.42
Typical High
$478.63
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$75.86
Typical High
$87.10
United
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$575.44
Typical High
$3,890.45
United
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$72.44
Typical High
$123.03

Where Pennsylvania 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.

Pennsylvania $67.61 · 45th 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.