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Leuprolide Acetate

South Dakota 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 South Dakota, 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 $58.88 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
$58.88

The same drug, in the same amount, costs 15% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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 7 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$11.22 to $56.23
FacilityA hospital or hospital-owned outpatient department$58.88$46.77 to $60.26

How much rates vary

Facilitymedian $59 · 10th to 90th $9 to $87Professionalmedian $51 · 10th to 90th $9 to $60
$10$20$50$100$200facility $59professional $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
$46.77
Median
$60.26
Typical High
$60.26
Aetna
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$51.29
Typical High
$60.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$9.12
Median
$11.22
Typical High
$13.49
Medica
Setting
Facility
Modifier
Global
Typical Low
$8.91
Median
$28.84
Typical High
$109.65
Medica
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$56.23
Typical High
$407.38
Midlands
Setting
Professional
Modifier
Global
Typical Low
$10.72
Median
$11.48
Typical High
$13.49
Midlands
Setting
Professional
Modifier
Global
Typical Low
$18.62
Median
$18.62
Typical High
$18.62
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$53.70
Typical High
$53.70
United
Setting
Professional
Modifier
Global
Typical Low
$9.33
Median
$50.12
Typical High
$60.26
Wellmark
Setting
Facility
Modifier
Global
Typical Low
$58.88
Median
$58.88
Typical High
$58.88
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$58.88
Typical High
$58.88

Where South Dakota 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.

South Dakota· 2nd 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.