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Induced Abortion Using Vaginal Medication

North Carolina rates for HCPCS 59855

A medically induced pregnancy termination performed using vaginal suppository medication, such as a prostaglandin, sometimes combined with a cervical-softening device to help the cervix open. The service covers the full course of care including hospital admission, monitoring visits, and delivery of the fetus and placental tissue. It is a medication-based method rather than a surgical procedure such as dilation and curettage.

Rates data updated July 2026.

How much does Induced Abortion Using Vaginal Medication cost?

$603

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $603 for this service. The price depends on where it is billed: about $575 from a physician practice, and about $1,000 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$575$427 to $871
FacilityA hospital or hospital-owned outpatient department$1,000$501 to $2,630

How much rates vary

Facilitymedian $1,000 · 10th to 90th $417 to $7,586Professionalmedian $575 · 10th to 90th $407 to $1,148
$100.0$200.0$500.0$1.0K$2.0K$5.0K$10.0Kfacility $1,000professional $575

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
$416.87
Median
$1,548.82
Typical High
$8,709.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$478.63
Typical High
$1,148.15
BCBS
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$691.83
Typical High
$1,096.48
Cigna
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$645.65
Typical High
$912.01
Medcost
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$537.03
Typical High
$794.33
Medcost
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$549.54
Typical High
$1,122.02
United
Setting
Facility
Modifier
Global
Typical Low
$1,288.25
Median
$3,981.07
Typical High
$7,079.46
United
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$524.81
Typical High
$977.24
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$2,630.27
Typical High
$2,630.27
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$2,951.21
Median
$2,951.21
Typical High
$3,715.35

Where North Carolina sits

The same service costs 10.0 times more in California than in Delaware. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

North Carolina $603 · 23rd of 51
CA $3,981DE $398

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.