go back

Insertion of Long-Acting Drug Implant

North Carolina 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?

$318

Typical total for the visit. In North Carolina, July 2026.

Insurers have agreed to pay about $318 for this procedure. That total is two separate charges: $145 to the doctor who performs it, and $174 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$145$97.72 to $224
Facility feeThe hospital or surgery center$174$97.72 to $933

How much rates vary

Facilitymedian $174 · 10th to 90th $65 to $5,248Professionalmedian $145 · 10th to 90th $62 to $309
$10$100$1K$10Kfacility $174professional $145

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
$234.42
Typical High
$5,495.41
Aetna
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$144.54
Typical High
$316.23
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$95.50
Typical High
$173.78
BCBS
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$151.36
Typical High
$295.12
Cigna
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$134.90
Typical High
$229.09
Medcost
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$199.53
Typical High
$257.04
Medcost
Setting
Facility
Modifier
Global
Typical Low
$61.66
Median
$104.71
Typical High
$181.97
United
Setting
Facility
Modifier
Global
Typical Low
$363.08
Median
$891.25
Typical High
$2,089.30
United
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$104.71
Typical High
$190.55
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$1,288.25
Typical High
$1,288.25
Wellcare
Setting
Facility
Modifier
AS · PA/NP assist
Typical Low
$46.77
Median
$46.77
Typical High
$46.77
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$724.44
Typical High
$851.14

Where North Carolina 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

North Carolina· 44th of 50

$318

$145 physician + $174 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.