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Diaphragm Or Cervical Cap Fitting And Insertion

South Dakota 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?

$91.20

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $91.20 for this service. The price depends on where it is billed: about $91.20 from a physician practice, and about $97.72 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 7 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$91.20$66.07 to $132
FacilityA hospital or hospital-owned outpatient department$97.72$70.79 to $132

How much rates vary

Facilitymedian $98 · 10th to 90th $48 to $182Professionalmedian $91 · 10th to 90th $42 to $174
$50$100$200$500facility $98professional $91

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$47.86
Median
$47.86
Typical High
$70.79
Aetna
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$66.07
Typical High
$72.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$131.83
Typical High
$223.87
Medica
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$102.33
Typical High
$169.82
Medica
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$120.23
Typical High
$575.44
Midlands
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$109.65
Typical High
$165.96
Midlands
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$144.54
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$102.33
Typical High
$151.36
United
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$812.83
Typical High
$812.83
United
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$102.33
Typical High
$177.83
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$102.33
Typical High
$177.83

Where South Dakota sits

The same service costs 3.2 times more in Alaska than in Florida. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

South Dakota· 11th of 51

$91.20

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.