go back

Insertion of Long-Acting Drug Implant

West 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?

$485

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

Insurers have agreed to pay about $485 for this procedure. That total is two separate charges: $138 to the doctor who performs it, and $347 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 5 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$138$115 to $200
Facility feeThe hospital or surgery center$347$295 to $427

How much rates vary

Facilitymedian $347 · 10th to 90th $105 to $550Professionalmedian $138 · 10th to 90th $71 to $209
$100$200$500$1K$2K$5K$10Kfacility $347professional $138

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
$346.74
Typical High
$549.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$138.04
Typical High
$208.93
CareSource
Setting
Facility
Modifier
Global
Typical Low
$67.61
Median
$83.18
Typical High
$83.18
CareSource
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$93.33
Typical High
$112.20
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34.67
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
$61.66
Median
$112.20
Typical High
$724.44
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$104.71
Median
$288.40
Typical High
$524.81
Highmark BCBS
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$131.83
Typical High
$144.54
United
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$371.54
Typical High
$977.24
United
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$107.15
Typical High
$186.21

Where West 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

West Virginia· 34th of 50

$485

$138 physician + $347 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.