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Removal Of A Contraceptive Implant

Utah rates for HCPCS 11976

This procedure removes a small contraceptive device that was previously placed just under the skin, usually in the upper arm. It is performed through a small incision to take the device out.

Rates data updated July 2026.

Facilitymedian $3,020 · 10th–90th $102$4,5710%10%10th90th$3,020Professionalmedian $141 · 10th–90th $79$2690%10%10th90th$141$50.0$100.0$200.0$500.0$1.0K$2.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$3,162.28
Typical High
$4,570.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$138.04
Typical High
$269.15
Cigna
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$169.82
Typical High
$229.09
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$245.47
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$1,000.00
Median
$1,380.38
Typical High
$2,089.30
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$154.88
Typical High
$229.09
Select Health
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$199.53
Typical High
$199.53
Select Health
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$104.71
Typical High
$208.93
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$177.83
Typical High
$245.47
United
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$2,818.38
Typical High
$5,128.61
United
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$125.89
Typical High
$199.53