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Insertion of Long-Acting Drug Implant

Illinois rates for HCPCS 11981

Placement of a small rod-like device under the skin, usually in the upper arm, that slowly releases medication over an extended period, such as months or years. It's commonly used for long-acting hormonal contraception.

Rates data updated July 2026.

How much does Insertion of Long-Acting Drug Implant cost?

$1,171

Typical total for the visit. In Illinois, July 2026.

Insurers have agreed to pay about $1,171 for this procedure. That total is two separate charges: $148 to the doctor who performs it, and $1,023 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

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 7 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$148$91.20 to $229
Facility feeThe hospital or surgery center$1,023$162 to $2,512

How much rates vary

Facilitymedian $1,023 · 10th to 90th $87 to $5,248Professionalmedian $148 · 10th to 90th $71 to $398
$100$200$500$1K$2K$5K$10Kfacility $1,023professional $148

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
$83.18
Median
$1,122.02
Typical High
$5,248.07
Aetna
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$151.36
Typical High
$457.09
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$102.33
Typical High
$138.04
BCBS
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$229.09
Typical High
$1,174.90
BCBS
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$107.15
Typical High
$190.55
Cigna
Setting
Facility
Modifier
Global
Typical Low
$97.72
Median
$97.72
Typical High
$97.72
Cigna
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$120.23
Typical High
$194.98
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$154.88
Typical High
$407.38
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$81.28
Typical High
$138.04
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$616.60
Typical High
$2,089.30
United
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$123.03
Typical High
$213.80

Where Illinois sits

The same service costs 24.2 times more in New Jersey than in Maryland. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Physician feeFacility fee

Illinois· 25th of 50

$1,171

$148 physician + $1,023 facility

NJ $4,792MD $198

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.