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CPT 57170 Fee Schedule

Last Verified: October 2026

Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.

Insert Birth Control Device, Fitting Insertion And Instructions For Using A Birth Control Device: Diaphragm Cervical Cap Or Iud (Intrauterine Device).
Key FactDetail
Service Type

Surgery

Surgical Procedures on the Female Genital System

Common Place of Service

11 - Office

22 - On Campus Outpatient Hospital

Common Modifiers

None

59 - Distinct Procedural Service

51 - Multiple procedures

Complexity LevelLow
Medicare Fee ScheduleView Medicare rates for 57170
Medicaid Fee ScheduleView Medicaid rates for 57170

National average reimbursement for CPT 57170 by major payers:

bcbs

$94.02

uhc

$94.39

aetna

$98.74

cigna

$82.91

Compare published rates across providers.

Choose a payer to see a sample of rates for CPT 57170.

CPT 57170
5 of 25 sample ratesHigher to lower in this preview
  1. Summit Medical Group PA, Summit Medical Group Ambulatory Surgery Center

    Summit Medical Group, P.A.

    NJAmbulatory Surgical Clinic/CenterNPI 1982641890Tax ID 22-3487984

    $2,281.00Published rate
  2. Tampa Bay Joint And Spine, LLC, Tampa Bay Joint And Spine Surgery Center

    Tampa Bay Joint And Spine LLC

    FLAmbulatory Surgical Clinic/CenterNPI 1063092047Tax ID 85-1259146

    $566.00Published rate
  3. Park Meadows Outpatient Surgery, LLC

    Park Meadows Outpatient Surgery LLC

    COAmbulatory Surgical Clinic/CenterNPI 1669548368Tax ID 84-1498341

    $325.00Published rate
  4. Livonia Surgery Center LLC

    Livonia Outpatient Surgery Center LLC

    MIAmbulatory Surgical Clinic/CenterNPI 1609522028Tax ID 26-1322609

    $179.00Published rate
  5. Ohio Eye Surgery Center

    OHAmbulatory Surgical Clinic/CenterNPI 1316905680Tax ID 31-1327699

    $107.00Published rate

National sample. Rates vary by location, specialty, and contract.

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CPT 57170 vs. Other Surgical Procedures on the Female Genital System Codes

The CPT 57170 code is part of the Surgery services used for Surgical Procedures on the Female Genital System. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.

The CPT 57170 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.

CodeComplexityDescription
57160-CPTLowFit Vaginal Support Device, Fitting And Instruction For A Pessary Device. This Is A Prosthesis That Supports The Uterus Cervical Stump Or Hernias Of The Pelvic Floor.
57170-CPTLowInsert Birth Control Device, Fitting Insertion And Instructions For Using A Birth Control Device: Diaphragm Cervical Cap Or Iud (Intrauterine Device).
57180-CPTModerateTreat Excess Vaginal Bleeding, Placement Of Gauze Or Other Packing Agent Into The Vagina To Stop A Hemorrhage. The Material May Be Treated With A Medication To Help Stop The Bleeding.
57200-CPTModerateColporrhaphy Suture Of Injury, Colporrhaphy Suture Of Injury Of Vagina (Nonobstetrical)Colporrhaphy Suture Of Injury Of Vagina (Nonobstetrical)

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 57170. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the 57170 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.

Factors that affect fee schedules


Medicare & Medicaid Rates

Government-set reimbursement amounts


Private Insurance Rates

Negotiated rates between providers and insurance companies


Geographic Location

Costs may be higher in urban areas.


Provider Type

Hospital providers may have different rates than private practice.

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