Procedure cost · New York, NY
Contraceptive Implant Insertion (Nexplanon) cost in New York, NYCPT 11981
Typical in-network range.
Median is about $64.
Real payer data
Based on 45,035 negotiated rates from 2 insurers' public Transparency-in-Coverage files, updated 2026-06. We publish aggregates only, never any single insurer's raw rate.
Our methodology
We aggregate in-network negotiated rates that insurers are federally required to publish. Percentiles are computed across all contributing plans for this billing code in this metro area and are bin-resolution approximations. Figures are for general information only and are not a quote.
See what you should actually pay
Join the waitlist and we'll tell you when Parlio can estimate your out-of-pocket cost and negotiate the bill down for you.
Why your number may differ
What affects your price
The range above is what insurers have negotiated. Four things move where you land inside it.
In-network vs out-of-network
In-network rates are pre-negotiated. Out-of-network can run several times higher and may not count toward your deductible.
Facility vs office setting
Hospital outpatient departments bill a facility fee on top of the physician fee. A freestanding clinic or ASC is usually cheaper.
Your deductible & coinsurance
If you haven't met your deductible, you may owe the full negotiated rate. After it, you pay only your coinsurance share.
Screening vs diagnostic
A screening procedure is preventive, often $0 to you. If something is found or you have symptoms, it's billed as diagnostic.
A closer look
Negotiated rates by insurer
Per-insurer percentiles where at least two contributing plans exist. Bars show each insurer's range; the line marks their median against the $128 Medicare benchmark.
Contraceptive Implant Insertion (Nexplanon) costs in New York, NY: FAQ
How much does a Contraceptive Implant Insertion (Nexplanon) cost in New York, NY?
In-network negotiated rates run from $24 to $1,500, with a median around $64. What you actually pay depends on your plan and whether you've met your deductible.
Why do prices vary so much for the same procedure?
Every insurer negotiates its own rate with every facility, so two people with different plans can be billed very differently for the same code. Setting matters too: a hospital outpatient department adds a facility fee a freestanding clinic doesn't.
Is this procedure covered by insurance?
Preventive screenings are typically covered at no cost to you under most plans. A diagnostic version (ordered for symptoms or follow-up) is subject to your deductible and coinsurance, which is where these negotiated rates come in.
What does the Medicare benchmark mean?
Medicare publishes a fixed fee schedule (MPFS) of about $128 for this procedure here. A negotiated rate far above the Medicare benchmark is a strong signal there's room to negotiate.
Contraceptive Implant Insertion (Nexplanon) in other metros
Don't guess what you owe
Most people are billed more than the negotiated rate. Join the waitlist and we'll let you know the moment Parlio can estimate your cost and negotiate it down.
Prices reflect aggregated in-network negotiated rates from insurers' public Transparency-in-Coverage files and are for general information only, not a quote, medical advice, or a guarantee of cost. Your actual price depends on your plan, provider, and clinical circumstances.