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Insertion of Long-Acting Drug Implant

Pennsylvania 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?

$1,729

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

Insurers have agreed to pay about $1,729 for this procedure. That total is two separate charges: $145 to the doctor who performs it, and $1,585 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 13 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$145$107 to $214
Facility feeThe hospital or surgery center$1,585$275 to $3,802

How much rates vary

Facilitymedian $1,585 · 10th to 90th $93 to $7,762Professionalmedian $145 · 10th to 90th $72 to $275
$100$200$500$1K$2K$5K$10Kfacility $1,585professional $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
$93.33
Median
$1,737.80
Typical High
$7,585.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$151.36
Typical High
$275.42
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$95.50
Typical High
$165.96
AmeriHealth
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$891.25
Typical High
$14,454.40
AmeriHealth
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$107.15
Typical High
$186.21
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$8,511.38
Typical High
$77,624.71
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$263.03
Typical High
$338.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$109.65
Typical High
$190.55
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$186.21
Typical High
$186.21
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$141.25
Typical High
$208.93
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$588.84
Typical High
$1,000.00
Highmark BCBS
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$87.10
Typical High
$87.10
Independence Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$3,715.35
Typical High
$13,489.63
Independence Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$107.15
Typical High
$107.15
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$1,584.89
Typical High
$7,244.36
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$134.90
Typical High
$275.42
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$134.90
Typical High
$141.25
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$61.66
Median
$61.66
Typical High
$97.72
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$64.57
Typical High
$97.72
United
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$478.63
Typical High
$3,890.45
United
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$100.00
Typical High
$169.82

Where Pennsylvania 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

Pennsylvania· 18th of 50

$1,729

$145 physician + $1,585 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.