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Diaphragm Or Cervical Cap Fitting And Insertion

Washington 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?

$100

Typical negotiated rate. In Washington, July 2026.

Insurers have agreed to pay about $100 for this service. The price depends on where it is billed: about $91.20 from a physician practice, and about $117 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 10 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$64.57 to $135
FacilityA hospital or hospital-owned outpatient department$117$91.20 to $174

How much rates vary

Facilitymedian $117 · 10th to 90th $62 to $603Professionalmedian $91 · 10th to 90th $52 to $191
$10.0$100.0$1.0Kfacility $117professional $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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$117.49
Typical High
$177.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$83.18
Typical High
$190.55
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$407.38
Median
$616.60
Typical High
$1,096.48
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$112.20
Typical High
$190.55
Cigna
Setting
Facility
Modifier
Global
Typical Low
$57.54
Median
$57.54
Typical High
$95.50
Cigna
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$120.23
Typical High
$218.78
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$107.15
Typical High
$199.53
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$107.15
Typical High
$177.83
Molina
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$32.36
Typical High
$33.11
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$125.89
Typical High
$151.36
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$107.15
Typical High
$107.15
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$109.65
Typical High
$194.98
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$602.56
Typical High
$1,071.52
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$112.20
Typical High
$190.55
United
Setting
Facility
Modifier
Global
Typical Low
$186.21
Median
$741.31
Typical High
$1,621.81
United
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$100.00
Typical High
$194.98
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$81.28
Typical High
$104.71

Where Washington 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.

Washington $100 · 8th 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.