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Diaphragm Or Cervical Cap Fitting And Insertion

Tennessee 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?

$77.62

Typical negotiated rate. In Tennessee, July 2026.

Insurers have agreed to pay about $77.62 for this service. The price depends on where it is billed: about $70.79 from a physician practice, and about $851 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 5 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$70.79$57.54 to $95.50
FacilityA hospital or hospital-owned outpatient department$851$295 to $1,445

How much rates vary

Facilitymedian $851 · 10th to 90th $83 to $1,905Professionalmedian $71 · 10th to 90th $47 to $135
$20.0$100.0$500.0$2.0Kfacility $851professional $71

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
$52.48
Median
$83.18
Typical High
$151.36
Aetna
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$64.57
Typical High
$117.49
BCBS
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$1,445.44
Typical High
$2,041.74
BCBS
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$83.18
Typical High
$138.04
Cigna
Setting
Facility
Modifier
Global
Typical Low
$53.70
Median
$53.70
Typical High
$53.70
Cigna
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$81.28
Typical High
$134.90
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$1,288.25
Typical High
$1,288.25
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$645.65
Typical High
$645.65
United
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$794.33
Typical High
$2,137.96
United
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$79.43
Typical High
$134.90

Where Tennessee 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.

Tennessee $77.62 · 25th 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.