CPT 57170

Diaphragm/Cervical Cap Fitting W/Instructions

CPT 57170 pays $72.81 in a non-facility setting and $41.42 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $64.90 in Arkansas to $87.73 in Alaska, a 35% spread.

National non-facility rate

$72.81

Office and other outpatient settings

Facility rate
$41.42

Hospital and ASC settings

Highest state
$87.73

Alaska

Lowest state
$64.90

Arkansas · 35% spread

Medicare rate by state

53 Medicare jurisdictions, highest to lowest. State values average every locality in the jurisdiction at a 33.4009 conversion factor.

Non-facilityFacilityNational $72.81
CPT 57170 Medicare reimbursement rate by state, 33.4009 conversion factor, 2026 Physician Fee Schedule. National non-facility $72.81, national facility $41.42.
StateRate compared visuallyNon-facilityFacility
Alaska
$87.73$54.29
District of Columbia
$81.74$44.76
New York
$80.51$45.48
New Jersey
$79.54$44.19
California
$78.35$41.20
Florida
$78.00$46.50
Washington
$77.91$42.11
Massachusetts
$77.49$42.21
Connecticut
$77.44$43.62
Illinois
$76.51$46.18
Hawaii
$75.73$40.04
Maryland
$75.22$42.49
Colorado
$74.42$41.01
Rhode Island
$74.05$41.61
New Hampshire
$73.69$41.01
Oregon
$73.59$40.52
Puerto Rico
$73.15$41.41
Virgin Islands
$73.15$41.41
Montana
$72.80$41.41
Michigan
$72.69$43.21
Pennsylvania
$72.68$41.92
Georgia
$72.17$42.22
Texas
$72.01$41.10
Delaware
$71.97$40.95
Nevada
$71.96$40.53
Wyoming
$71.42$40.03
Arizona
$70.87$40.45
New Mexico
$70.76$41.96
Virginia
$70.60$39.74
West Virginia
$70.17$42.89
Minnesota
$70.15$37.84
Utah
$70.00$40.49
Vermont
$69.80$38.71
Louisiana
$69.78$41.12
North Dakota
$69.64$38.24
Missouri
$69.62$40.81
Ohio
$69.57$40.91
South Dakota
$69.27$37.87
Maine
$69.14$39.14
South Carolina
$69.14$40.13
North Carolina
$68.36$39.06
Kentucky
$68.17$40.26
Oklahoma
$67.58$39.55
Wisconsin
$67.53$37.45
Indiana
$67.31$38.21
Idaho
$66.98$38.09
Tennessee
$66.91$38.37
Nebraska
$66.58$37.60
Kansas
$66.54$38.16
Iowa
$66.38$37.66
Mississippi
$66.17$39.14
Alabama
$65.78$38.30
Arkansas
$64.90$37.93

Billed by 1 specialties

Commercial rates for 57170

Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.

See negotiated rates