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Insertion of Long-Acting Drug Implant

New Jersey 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?

$4,792

Typical total for the visit. In New Jersey, July 2026.

Insurers have agreed to pay about $4,792 for this procedure. That total is two separate charges: $115 to the doctor who performs it, and $4,677 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 6 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$115$74.13 to $178
Facility feeThe hospital or surgery center$4,677$1,862 to $6,918

How much rates vary

Facilitymedian $4,677 · 10th to 90th $178 to $10,471Professionalmedian $115 · 10th to 90th $58 to $407
$100$1K$10Kfacility $4,677professional $115

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
$120.23
Median
$4,897.79
Typical High
$10,471.29
Aetna
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$117.49
Typical High
$562.34
AmeriHealth
Setting
Facility
Modifier
Global
Typical Low
$537.03
Median
$8,709.64
Typical High
$13,182.57
AmeriHealth
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$204.17
Typical High
$389.05
Cigna
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$123.03
Typical High
$251.19
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$147.91
Typical High
$173.78
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$416.87
Typical High
$676.08
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$107.15
Typical High
$218.78
United
Setting
Facility
Modifier
Global
Typical Low
$1,148.15
Median
$2,754.23
Typical High
$6,760.83
United
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$79.43
Typical High
$181.97

Where New Jersey 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

New Jersey· 1st of 50

$4,792

$115 physician + $4,677 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.