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Diaphragm Or Cervical Cap Fitting And Insertion

Utah 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?

$83.18

Typical negotiated rate. In Utah, July 2026.

Insurers have agreed to pay about $83.18 for this service. The price depends on where it is billed: about $83.18 from a physician practice, and about $83.18 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$83.18$63.10 to $110
FacilityA hospital or hospital-owned outpatient department$83.18$63.10 to $309

How much rates vary

Facilitymedian $83 · 10th to 90th $63 to $603Professionalmedian $83 · 10th to 90th $47 to $135
$50.0$100.0$200.0$500.0$1.0K$2.0K$5.0Kfacility $83professional $83

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
$63.10
Median
$63.10
Typical High
$83.18
Aetna
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$83.18
Typical High
$134.90
Cigna
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$79.43
Typical High
$125.89
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$95.50
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$288.40
Median
$398.11
Typical High
$602.56
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$93.33
Typical High
$123.03
Select Health
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$112.20
Typical High
$112.20
Select Health
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$102.33
Typical High
$120.23
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$102.33
Typical High
$128.82
United
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$4,466.84
Typical High
$5,128.61
United
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$70.79
Typical High
$120.23

Where Utah 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.

Utah $83.18 · 16th 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.