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Leuprolide Acetate

North Carolina rates for HCPCS J9218

Leuprolide acetate, per 1 mg

Rates data updated July 2026.

How much does Leuprolide Acetate cost?

$51.29per mg

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $51.29 for each mg of this drug. The price depends on where it is billed: about $51.29 from a physician practice, and about $35.48 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
$51.29
At a hospital outpatient department
$35.48

The same drug, in the same amount, costs 31% less 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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$51.29$25.70 to $52.48
FacilityA hospital or hospital-owned outpatient department$35.48$11.75 to $51.29

How much rates vary

Facilitymedian $35 · 10th to 90th $8 to $79Professionalmedian $51 · 10th to 90th $19 to $58
$10$20$50$100$200$500facility $35professional $51

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
$7.94
Median
$35.48
Typical High
$165.96
Aetna
Setting
Professional
Modifier
Global
Typical Low
$7.94
Median
$50.12
Typical High
$51.29
BCBS
Setting
Facility
Modifier
Global
Typical Low
$18.20
Median
$30.90
Typical High
$41.69
BCBS
Setting
Professional
Modifier
Global
Typical Low
$25.70
Median
$52.48
Typical High
$57.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$83.18
Typical High
$120.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$51.29
Typical High
$51.29
Medcost
Setting
Professional
Modifier
Global
Typical Low
$9.77
Median
$9.77
Typical High
$9.77
Medcost
Setting
Facility
Modifier
Global
Typical Low
$8.13
Median
$42.66
Typical High
$66.07
Medcost
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$58.88
Typical High
$58.88
United
Setting
Facility
Modifier
Global
Typical Low
$186.21
Median
$251.19
Typical High
$281.84
United
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$53.70
Typical High
$56.23
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$181.97
Typical High
$181.97
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$407.38
Typical High
$407.38

Where North Carolina sits

The same service costs 4.3 times more in Delaware than in New York. 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.

North Carolina· 9th of 51

$51.29

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.