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Histrelin (Supprelin LA) Implant

New Hampshire rates for HCPCS J9226

Histrelin implant (Supprelin LA), 50 mg

Rates data updated July 2026.

How much does Supprelin LA (histrelin acetate) cost?

$40,738per 50 mg

Typical negotiated rate. In New Hampshire, July 2026.

Insurers have agreed to pay about $40,738 for each 50 mg of this drug. The price depends on where it is billed: about $40,738 from a physician practice, and about $58,884 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 50 mg. Enter the amount given to see what insurers have agreed to pay for it.

mg
In a doctor's office or clinic
$40,738
At a hospital outpatient department
$58,884

The same drug, in the same amount, costs 45% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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$40,738$40,738 to $42,658
FacilityA hospital or hospital-owned outpatient department$58,884$48,978 to $74,131

How much rates vary

Facilitymedian $58,884 · 10th to 90th $42,658 to $87,096Professionalmedian $40,738 · 10th to 90th $40,738 to $47,863
$50K$100Kfacility $58,884professional $40,738

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
$40,738.03
Median
$40,738.03
Typical High
$45,708.82
Aetna
Setting
Professional
Modifier
Global
Typical Low
$40,738.03
Median
$40,738.03
Typical High
$45,708.82
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$48,977.88
Median
$61,659.50
Typical High
$87,096.36
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$40,738.03
Median
$40,738.03
Typical High
$44,668.36
Cigna
Setting
Facility
Modifier
Global
Typical Low
$46,773.51
Median
$81,283.05
Typical High
$109,647.82
Cigna
Setting
Professional
Modifier
Global
Typical Low
$40,738.03
Median
$40,738.03
Typical High
$40,738.03
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$40,738.03
Median
$40,738.03
Typical High
$50,118.72
United
Setting
Facility
Modifier
Global
Typical Low
$67,608.30
Median
$67,608.30
Typical High
$67,608.30
United
Setting
Professional
Modifier
Global
Typical Low
$40,738.03
Median
$43,651.58
Typical High
$58,884.37
Well Sense
Setting
Facility
Modifier
Global
Typical Low
$43,651.58
Median
$48,977.88
Typical High
$53,703.18

Where New Hampshire sits

Rates are fairly even across states for this service. 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.

New Hampshire· 47th of 51

$40,738

NY $56,234FL $40,738

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.