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Diaphragm Or Cervical Cap Fitting And Insertion

Virginia 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?

$70.79

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $70.79 for this service. The price depends on where it is billed: about $69.18 from a physician practice, and about $75.86 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$69.18$53.70 to $87.10
FacilityA hospital or hospital-owned outpatient department$75.86$58.88 to $380

How much rates vary

Facilitymedian $76 · 10th to 90th $48 to $2,344Professionalmedian $69 · 10th to 90th $42 to $126
$50.0$200.0$1.0K$5.0Kfacility $76professional $69

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
$39.81
Median
$67.61
Typical High
$138.04
Aetna
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$67.61
Typical High
$83.18
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,137.96
Median
$2,570.40
Typical High
$2,951.21
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$77.62
Typical High
$125.89
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$74.13
Typical High
$1,047.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$77.62
Typical High
$141.25
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$85.11
Typical High
$223.87
Medcost
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$151.36
Typical High
$177.83
Medcost
Setting
Facility
Modifier
Global
Typical Low
$44.67
Median
$74.13
Typical High
$131.83
Sentara
Setting
Facility
Modifier
Global
Typical Low
$44.67
Median
$64.57
Typical High
$1,659.59
Sentara
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$102.33
Typical High
$1,659.59
United
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$1,122.02
Typical High
$2,454.71
United
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$72.44
Typical High
$131.83

Where Virginia 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.

Virginia $70.79 · 36th 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.