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Insertion of Long-Acting Drug Implant

Virginia 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?

$369

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

Insurers have agreed to pay about $369 for this procedure. That total is two separate charges: $112 to the doctor who performs it, and $257 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 8 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$112$89.13 to $174
Facility feeThe hospital or surgery center$257$120 to $2,630

How much rates vary

Facilitymedian $257 · 10th to 90th $91 to $5,888Professionalmedian $112 · 10th to 90th $62 to $224
$100$200$500$1K$2K$5K$10Kfacility $257professional $112

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
$104.71
Median
$588.84
Typical High
$7,079.46
Aetna
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$112.20
Typical High
$223.87
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,137.96
Median
$2,570.40
Typical High
$2,951.21
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$102.33
Typical High
$165.96
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$72.44
Typical High
$1,047.13
Cigna
Setting
Facility
Modifier
Global
Typical Low
$97.72
Median
$97.72
Typical High
$97.72
Cigna
Setting
Facility
Modifier
AS · PA/NP assist
Typical Low
$9.77
Median
$9.77
Typical High
$9.77
Cigna
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$120.23
Typical High
$199.53
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$128.82
Typical High
$151.36
Medcost
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$177.83
Typical High
$199.53
Medcost
Setting
Facility
Modifier
Global
Typical Low
$61.66
Median
$109.65
Typical High
$194.98
Medcost
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$295.12
Typical High
$295.12
Sentara
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$97.72
Typical High
$4,073.80
Sentara
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$162.18
Typical High
$4,073.80
United
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$1,096.48
Typical High
$2,454.71
United
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$107.15
Typical High
$190.55

Where Virginia 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

Virginia· 42nd of 50

$369

$112 physician + $257 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.