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Leuprolide Acetate

Illinois rates for HCPCS J9218

Leuprolide acetate, per 1 mg

Rates data updated July 2026.

How much does Leuprolide Acetate cost?

$48.98per mg

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $48.98 for each mg of this drug. The price depends on where it is billed: about $47.86 from a physician practice, and about $79.43 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

Work out the cost of a dose

This drug is priced per mg. Enter the amount given to see what insurers have agreed to pay for it.

mg
In a doctor's office or clinic
$47.86
At a hospital outpatient department
$79.43

The same drug, in the same amount, costs 66% more at a hospital than at a doctor's office.

Drug cost only. Giving the drug, the visit itself and any monitoring are billed on their own codes. We do not publish dosing guidance: use the amount from your own prescription or treatment plan.

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$47.86$47.86 to $51.29
FacilityA hospital or hospital-owned outpatient department$79.43$47.86 to $105

How much rates vary

Facilitymedian $79 · 10th to 90th $48 to $155Professionalmedian $48 · 10th to 90th $15 to $60
$5.0$20.0$100.0$500.0facility $79professional $48

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
$47.86
Median
$79.43
Typical High
$151.36
Aetna
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$47.86
Typical High
$51.29
BCBS
Setting
Facility
Modifier
Global
Typical Low
$27.54
Median
$102.33
Typical High
$269.15
BCBS
Setting
Professional
Modifier
Global
Typical Low
$10.96
Median
$12.88
Typical High
$14.45
Cigna
Setting
Facility
Modifier
Global
Typical Low
$72.44
Median
$102.33
Typical High
$128.82
Cigna
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$51.29
Typical High
$51.29
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$8.91
Median
$257.04
Typical High
$512.86
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$11.48
Typical High
$11.48
Molina
Setting
Professional
Modifier
Global
Typical Low
$8.91
Median
$11.22
Typical High
$13.18
United
Setting
Facility
Modifier
Global
Typical Low
$186.21
Median
$251.19
Typical High
$251.19
United
Setting
Professional
Modifier
Global
Typical Low
$9.77
Median
$50.12
Typical High
$56.23

Where Illinois sits

The same service costs 4.3 times more in Delaware than in New York. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Illinois $48.98 · 42nd of 51
DE $51.29NY $12.02

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.