Birth control implant insertion cost without insurance
The median hospital cash price for insertion of a drug-delivery implant, such as the arm birth control implant is $271.23 across 1,294 US hospitals; most list between $94.75 and $1,418.25. The lowest outpatient cash price in any of 639 markets is $31.84. Prices come from each hospital's own price file; pick your area below to compare hospitals side by side.
Collected Nov 11, 2026 Each price links to its source file
Lowest$31.84any market
Median market$249.58middle of market medians
Most below$1,418.259 in 10 hospitals
Listings1,281hospital prices
Compared with Medicare
$135.93 is Medicare's 2026 national base rate for this service in a hospital outpatient department, including the patient's share and before the local wage adjustment. The median hospital cash price, $271.23 across 1,294 hospitals, is 2.0× that.
Researchers often measure hospital prices as a multiple of Medicare's rate, and it is a concrete number to mention when you ask a hospital for a cash discount. Source: CMS.
Cash or insurance?
If you have insurance but have not met your deductible, you pay the rate your plan negotiated with the hospital, not the cash price. Hospital price files list those rates too: for birth control implant insertion, the highest negotiated rate in a hospital's file has a median of $525.34 and the lowest a median of $103.16. At 883 of 1,010 hospitals that publish both, the cash price is below the highest negotiated rate.
With a high deductible, cash can cost less. But a cash payment may not count toward your deductible or out-of-pocket maximum: ask your plan for its rate at that hospital (most have a cost estimator) and whether it will credit a cash payment.
Plan's rate starts at the median highest negotiated rate and cash at the national median; put in your own numbers. Nothing you type leaves your device. To price a whole year with premiums, use the insurance or cash calculator.
What is CPT 11981?
This is insertion of a small rod-shaped implant under the skin that slowly releases medicine; the most common use is the contraceptive implant placed in the upper arm. It is done in an office with local numbing.
What the price covers
The price covers inserting the implant. The implant itself and the office visit are usually billed separately.
Why prices differ
Prices differ between clinics, doctors' offices and hospital-based clinics, and depend heavily on the device price.
What to ask
Ask whether the self-pay price for CPT 11981 includes the implant device and the office visit.
Prices by state
Among 44 states with at least 5 hospitals listing a cash price, the median is lowest in New Hampshire ($87.32), Louisiana ($96.36) and Maine ($126.13), and highest in Indiana ($1,880.50), Virginia ($564.50) and Massachusetts ($549.00).
Median outpatient cash price, one line per hospital. Pick a state to see every hospital, cheapest first.
- Alabama$312.01
- Alaska$306.54
- Arizona$163.27
- Arkansas$319.25
- California$284.26
- Colorado$338.41
- Connecticut$407.76
- Delaware$522.48
- District of Columbia$170.85, 2 hospitals
- Florida$314.60
- Georgia$545.00
- Hawaii$238.70
- Idaho$188.30
- Illinois$232.50
- Indiana$1,880.50
- Iowa$297.00
- Kansas$178.50
- Kentucky$136.50
- Louisiana$96.36
- Maine$126.13
- Maryland$235.94, 3 hospitals
- Massachusetts$549.00
- Michigan$166.60
- Minnesota$271.46
- Mississippi$132.00
- Missouri$184.00
- Montana$286.90
- Nebraska$263.00
- Nevada$1,271.00, 2 hospitals
- New Hampshire$87.32
- New Jersey$172.00
- New Mexico$227.81, 4 hospitals
- New York$281.71
- North Carolina$129.32
- North Dakota$244.80
- Ohio$377.25
- Oklahoma$221.85
- Oregon$255.78
- Pennsylvania$254.40
- Rhode Island$399.05, 4 hospitals
- South Carolina$325.18
- South Dakota$308.00
- Tennessee$171.39
- Texas$249.58
- Utah$122.52, 2 hospitals
- Vermont$186.34
- Virginia$564.50
- Washington$276.13
- West Virginia$165.52
- Wisconsin$280.23
- Wyoming$182.25, 3 hospitals
Prices by market
Outpatient cash prices. “×” is how many times the highest price in that market exceeds the lowest.
| Market | Hospitals | Lowest | Median | Highest | × |
|---|---|---|---|---|---|
| Aberdeen, MS single city | 1 | $358.00 | $358.00 | $358.00 | 1.0× |
| Aberdeen, WA | 1 | $324.00 | $324.00 | $324.00 | 1.0× |
| Ahoskie, NC single city | 1 | $95.76 | $95.76 | $95.76 | 1.0× |
| Aitkin, MN single city | 1 | $33.32 | $33.32 | $33.32 | 1.0× |
| Akron, OH | 3 | $251.55 | $786.00 | $1,418.25 | 5.6× |
| Alamosa, CO | 1 | $109.45 | $109.45 | $109.45 | 1.0× |
| Albany, MO single city | 1 | $255.00 | $255.00 | $255.00 | 1.0× |
| Albany, OR | 2 | $48.00 | $96.00 | $144.00 | 3.0× |
| Albany-Schenectady-Troy, NY | 2 | $144.95 | $144.95 | $144.95 | 1.0× |
| Albemarle, NC | 1 | $298.00 | $298.00 | $298.00 | 1.0× |
| Albuquerque, NM | 1 | $175.45 | $175.45 | $175.45 | 1.0× |
| Alexandria, MN | 1 | $170.52 | $170.52 | $170.52 | 1.0× |
| Allentown-Bethlehem-Easton, PA-NJ | 1 | $172.80 | $172.80 | $172.80 | 1.0× |
| Alliance, NE single city | 1 | $276.00 | $276.00 | $276.00 | 1.0× |
| Alma, NE single city | 1 | $117.83 | $117.83 | $117.83 | 1.0× |
| Altoona, PA | 1 | $253.20 | $253.20 | $253.20 | 1.0× |
| American Falls, ID single city | 1 | $201.90 | $201.90 | $201.90 | 1.0× |
| Ames, IA | 1 | $365.60 | $365.60 | $365.60 | 1.0× |
| Anchorage, AK | 2 | $306.54 | $309.27 | $312.00 | 1.0× |
| Anderson Creek, NC | 1 | $76.20 | $76.20 | $76.20 | 1.0× |
| Ann Arbor, MI | 2 | $237.25 | $243.43 | $249.60 | 1.1× |
| Antigo, WI single city | 1 | $324.35 | $324.35 | $324.35 | 1.0× |
| Antigo, WI both sides single city | 1 | $486.52 | $486.52 | $486.52 | 1.0× |
| Appleton, MN single city | 1 | $242.25 | $242.25 | $242.25 | 1.0× |
| Appleton, WI | 3 | $140.22 | $206.58 | $206.58 | 1.5× |
| Armour, SD single city | 1 | $284.40 | $284.40 | $284.40 | 1.0× |
| Asheville, NC | 1 | $1,565.00 | $1,565.00 | $1,565.00 | 1.0× |
| Ashland, OH | 1 | $377.25 | $377.25 | $377.25 | 1.0× |
| Ashland, WI single city | 1 | $302.36 | $302.36 | $302.36 | 1.0× |
| Astoria, OR | 2 | $181.50 | $211.55 | $241.60 | 1.3× |
| Atchison, KS | 1 | $288.00 | $288.00 | $288.00 | 1.0× |
| Athens, OH | 1 | $1,162.20 | $1,162.20 | $1,162.20 | 1.0× |
| Athens-Clarke County, GA | 2 | $299.70 | $14,580.72 | $28,861.73 | 96.3× |
| Atkinson, NE single city | 1 | $270.00 | $270.00 | $270.00 | 1.0× |
| Atlanta-Sandy Springs-Roswell, GA | 31 | $299.70 | $3,895.32 | $213,927.00 | 713.8× |
| Atlantic City-Hammonton, NJ | 2 | $47.25 | $109.70 | $172.14 | 3.6× |
| Auburn, IN | 1 | $1,910.50 | $1,910.50 | $1,910.50 | 1.0× |
| Auburn, NE single city | 1 | $103.00 | $103.00 | $103.00 | 1.0× |
| Auburn-Opelika, AL | 1 | $279.95 | $279.95 | $279.95 | 1.0× |
| Audubon, IA single city | 1 | $240.00 | $240.00 | $240.00 | 1.0× |
| Augusta-Richmond County, GA-SC | 2 | $232.02 | $2,063.67 | $3,895.32 | 16.8× |
| Austin-Round Rock-San Marcos, TX | 8 | $142.04 | $826.70 | $859.77 | 6.1× |
| Bainbridge, GA | 1 | $241.50 | $241.50 | $241.50 | 1.0× |
| Bakersfield-Delano, CA | 1 | $162.17 | $162.17 | $162.17 | 1.0× |
| Bangor, ME | 4 | $66.78 | $161.78 | $441.00 | 6.6× |
| Bar Harbor, ME single city | 1 | $425.70 | $425.70 | $425.70 | 1.0× |
| Baraboo, WI | 1 | $376.34 | $376.34 | $376.34 | 1.0× |
| Barre, VT | 1 | $191.49 | $191.49 | $191.49 | 1.0× |
| Bassett, NE single city | 1 | $334.00 | $334.00 | $334.00 | 1.0× |
| Batavia, NY | 1 | $264.17 | $264.17 | $264.17 | 1.0× |
| Baton Rouge, LA | 1 | $183.00 | $183.00 | $183.00 | 1.0× |
| Baudette, MN single city | 1 | $40.88 | $40.88 | $40.88 | 1.0× |
| Bay City, MI | 1 | $100.65 | $100.65 | $100.65 | 1.0× |
| Beaumont-Port Arthur, TX | 1 | $131.51 | $131.51 | $131.51 | 1.0× |
| Beaver Dam, WI | 1 | $247.95 | $247.95 | $247.95 | 1.0× |
| Bellingham, WA | 1 | $2,002.00 | $2,002.00 | $2,002.00 | 1.0× |
| Belmond, IA single city | 1 | $493.80 | $493.80 | $493.80 | 1.0× |
| Bemidji, MN | 1 | $283.20 | $283.20 | $283.20 | 1.0× |
| Bend, OR | 4 | $254.01 | $254.01 | $254.01 | 1.0× |
| Berlin, WI single city | 1 | $206.58 | $206.58 | $206.58 | 1.0× |
| Bethany, MO single city | 1 | $159.25 | $159.25 | $159.25 | 1.0× |
| Big Rapids, MI | 1 | $128.00 | $128.00 | $128.00 | 1.0× |
| Big Stone Gap, VA single city | 1 | $55.35 | $55.35 | $55.35 | 1.0× |
| Billings, MT | 1 | $282.00 | $282.00 | $282.00 | 1.0× |
| Birmingham, AL | 3 | $52.20 | $175.50 | $344.07 | 6.6× |
| Bishop, CA | 1 | $355.00 | $355.00 | $355.00 | 1.0× |
| Bismarck, ND | 1 | $295.20 | $295.20 | $295.20 | 1.0× |
| Black River Falls, WI single city | 1 | $180.90 | $180.90 | $180.90 | 1.0× |
| Blackfoot, ID | 1 | $188.30 | $188.30 | $188.30 | 1.0× |
| Blacksburg-Christiansburg-Radford, VA | 1 | $292.60 | $292.60 | $292.60 | 1.0× |
| Bloomington, IL | 1 | $399.00 | $399.00 | $399.00 | 1.0× |
| Blue Hill, ME single city | 1 | $115.07 | $115.07 | $115.07 | 1.0× |
| Bluefield, WV-VA | 1 | $1,666.00 | $1,666.00 | $1,666.00 | 1.0× |
| Boise City, ID | 5 | $133.98 | $166.40 | $360.00 | 2.7× |
| Boston-Cambridge-Newton, MA-NH | 16 | $241.82 | $564.50 | $1,751.00 | 7.2× |
| Boulder, CO | 1 | $338.41 | $338.41 | $338.41 | 1.0× |
| Bozeman, MT | 2 | $331.20 | $380.80 | $430.40 | 1.3× |
| Brattleboro, VT | 1 | $384.00 | $384.00 | $384.00 | 1.0× |
| Bremerton-Silverdale-Port Orchard, WA | 1 | $141.25 | $141.25 | $141.25 | 1.0× |
| Brenham, TX | 1 | $249.58 | $249.58 | $249.58 | 1.0× |
| Britt, IA single city | 1 | $257.25 | $257.25 | $257.25 | 1.0× |
| Brookings, SD | 1 | $302.50 | $302.50 | $302.50 | 1.0× |
| Brownfield, TX single city | 1 | $396.00 | $396.00 | $396.00 | 1.0× |
| Buckhannon, WV single city | 1 | $170.00 | $170.00 | $170.00 | 1.0× |
| Buffalo, WY single city | 1 | $248.00 | $248.00 | $248.00 | 1.0× |
| Buffalo-Cheektowaga, NY | 7 | $77.00 | $354.00 | $354.00 | 4.6× |
| Burlington-South Burlington, VT | 2 | $181.18 | $247.09 | $313.00 | 1.7× |
| Cades, SC single city | 1 | $101.00 | $101.00 | $101.00 | 1.0× |
| Cadillac, MI | 1 | $198.90 | $198.90 | $198.90 | 1.0× |
| Cadiz, OH single city | 1 | $128.00 | $128.00 | $128.00 | 1.0× |
| Calais, ME single city | 1 | $231.00 | $231.00 | $231.00 | 1.0× |
| Callaway, NE single city | 1 | $315.00 | $315.00 | $315.00 | 1.0× |
| Cambridge, NE single city | 1 | $217.80 | $217.80 | $217.80 | 1.0× |
| Cambridge, OH | 1 | $780.00 | $780.00 | $780.00 | 1.0× |
| Cando, ND single city | 1 | $234.00 | $234.00 | $234.00 | 1.0× |
| Canton-Massillon, OH | 2 | $130.50 | $191.03 | $251.55 | 1.9× |
| Cape Coral-Fort Myers, FL | 4 | $92.60 | $92.60 | $92.60 | 1.0× |
| Cape Girardeau, MO-IL | 1 | $580.00 | $580.00 | $580.00 | 1.0× |
| Carlsbad-Artesia, NM | 1 | $169.52 | $169.52 | $169.52 | 1.0× |
| Caro, MI single city | 1 | $104.95 | $104.95 | $104.95 | 1.0× |
| Carroll, IA | 2 | $200.00 | $248.50 | $297.00 | 1.5× |
| Cedar Rapids, IA single city | 1 | $240.72 | $240.72 | $240.72 | 1.0× |
| Chamberlain, SD single city | 1 | $595.20 | $595.20 | $595.20 | 1.0× |
| Chambersburg, PA | 1 | $192.80 | $192.80 | $192.80 | 1.0× |
| Champaign-Urbana, IL | 2 | $578.00 | $617.00 | $656.00 | 1.1× |
| Chanute, KS single city | 1 | $202.01 | $202.01 | $202.01 | 1.0× |
| Charles City, IA single city | 1 | $136.00 | $136.00 | $136.00 | 1.0× |
| Charleston, WV | 2 | $222.00 | $254.75 | $287.50 | 1.3× |
| Charleston-North Charleston, SC | 1 | $139.50 | $139.50 | $139.50 | 1.0× |
| Charlevoix, MI single city | 1 | $135.15 | $135.15 | $135.15 | 1.0× |
| Charlotte-Concord-Gastonia, NC-SC | 8 | $298.00 | $298.00 | $298.00 | 1.0× |
| Charlottesville, VA | 1 | $859.00 | $859.00 | $859.00 | 1.0× |
| Cheraw, SC single city | 1 | $325.18 | $325.18 | $325.18 | 1.0× |
| Cheyenne, WY | 1 | $175.00 | $175.00 | $175.00 | 1.0× |
| Chicago-Naperville-Elgin, IL-IN | 21 | $37.43 | $128.00 | $3,361.40 | 89.8× |
| Chillicothe, OH | 1 | $2,180.04 | $2,180.04 | $2,180.04 | 1.0× |
| Cincinnati, OH-KY-IN | 7 | $108.90 | $149.60 | $1,418.40 | 13.0× |
| Clarinda, IA single city | 1 | $228.75 | $228.75 | $228.75 | 1.0× |
| Clarion, IA single city | 1 | $514.20 | $514.20 | $514.20 | 1.0× |
| Clarksburg, WV | 1 | $153.00 | $153.00 | $153.00 | 1.0× |
| Clarksville, TN-KY | 1 | $49.05 | $49.05 | $49.05 | 1.0× |
| Clay Center, KS single city | 1 | $283.00 | $283.00 | $283.00 | 1.0× |
| Cleveland, OH | 18 | $251.55 | $305.88 | $1,418.25 | 5.6× |
| Clinton, MO single city | 1 | $94.54 | $94.54 | $94.54 | 1.0× |
| Coeur d'Alene, ID | 2 | $56.00 | $128.88 | $201.75 | 3.6× |
| College Station-Bryan, TX | 1 | $239.98 | $239.98 | $239.98 | 1.0× |
| Columbia, KY single city | 1 | $221.00 | $221.00 | $221.00 | 1.0× |
| Columbia, MO | 1 | $186.00 | $186.00 | $186.00 | 1.0× |
| Columbia, SC | 1 | $8,762.00 | $8,762.00 | $8,762.00 | 1.0× |
| Columbus, GA-AL | 2 | $231.07 | $231.07 | $231.07 | 1.0× |
| Columbus, IN | 1 | $118.40 | $118.40 | $118.40 | 1.0× |
| Columbus, NE | 1 | $101.68 | $101.68 | $101.68 | 1.0× |
| Columbus, OH | 14 | $122.85 | $759.20 | $1,078.15 | 8.8× |
| Comanche, TX single city | 1 | $1,125.15 | $1,125.15 | $1,125.15 | 1.0× |
| Coos Bay-North Bend, OR | 1 | $212.25 | $212.25 | $212.25 | 1.0× |
| Cordova, AK single city | 1 | $259.50 | $259.50 | $259.50 | 1.0× |
| Corning, IA single city | 1 | $55.80 | $55.80 | $55.80 | 1.0× |
| Corning, NY | 2 | $145.34 | $209.38 | $273.42 | 1.9× |
| Corpus Christi, TX | 4 | $6,334.23 | $6,334.23 | $6,334.23 | 1.0× |
| Cortland, NY | 1 | $273.42 | $273.42 | $273.42 | 1.0× |
| Corvallis, OR | 1 | $144.00 | $144.00 | $144.00 | 1.0× |
| Corydon, IA single city | 1 | $662.00 | $662.00 | $662.00 | 1.0× |
| Coshocton, OH | 1 | $125.00 | $125.00 | $125.00 | 1.0× |
| Cottonwood, ID single city | 1 | $83.55 | $83.55 | $83.55 | 1.0× |
| Crosby, ND single city | 1 | $1,271.24 | $1,271.24 | $1,271.24 | 1.0× |
| Cuba, NY single city | 1 | $412.00 | $412.00 | $412.00 | 1.0× |
| Cut Bank, MT single city | 1 | $64.68 | $64.68 | $64.68 | 1.0× |
| Dallas-Fort Worth-Arlington, TX | 13 | $173.55 | $344.25 | $2,325.60 | 13.4× |
| Daphne-Fairhope-Foley, AL | 1 | $46,638.15 | $46,638.15 | $46,638.15 | 1.0× |
| Davenport-Moline-Rock Island, IA-IL | 4 | $129.00 | $149.40 | $423.90 | 3.3× |
| Dawson, MN single city | 1 | $192.61 | $192.61 | $192.61 | 1.0× |
| Dayton, TN single city | 1 | $181.56 | $181.56 | $181.56 | 1.0× |
| Dayton-Kettering-Beavercreek, OH | 7 | $149.60 | $149.60 | $1,269.77 | 8.5× |
| Deckerville, MI single city | 1 | $159.60 | $159.60 | $159.60 | 1.0× |
| Defiance, OH | 1 | $21,400.96 | $21,400.96 | $21,400.96 | 1.0× |
| DeKalb, MS single city | 1 | $168.83 | $168.83 | $168.83 | 1.0× |
| Deltona-Daytona Beach-Ormond Beach, FL | 2 | $424.00 | $424.00 | $424.00 | 1.0× |
| Denison, IA single city | 1 | $267.20 | $267.20 | $267.20 | 1.0× |
| Denver-Aurora-Centennial, CO | 6 | $92.95 | $338.41 | $5,370.30 | 57.8× |
| Des Moines-West Des Moines, IA | 3 | $226.40 | $332.00 | $519.59 | 2.3× |
| Detroit-Warren-Dearborn, MI | 18 | $97.80 | $375.88 | $5,188.50 | 53.1× |
| Devils Lake, ND single city | 1 | $255.59 | $255.59 | $255.59 | 1.0× |
| Dillon, SC single city | 1 | $325.18 | $325.18 | $325.18 | 1.0× |
| Dodge City, KS | 1 | $178.50 | $178.50 | $178.50 | 1.0× |
| Dothan, AL | 1 | $9,152.33 | $9,152.33 | $9,152.33 | 1.0× |
| Dover, DE | 1 | $522.48 | $522.48 | $522.48 | 1.0× |
| Duluth, MN-WI | 7 | $108.38 | $455.30 | $478.50 | 4.4× |
| Duluth, MN-WI both sides | 1 | $407.18 | $407.18 | $407.18 | 1.0× |
| Duncan, OK | 1 | $262.80 | $262.80 | $262.80 | 1.0× |
| Durant, OK | 1 | $10,144.88 | $10,144.88 | $10,144.88 | 1.0× |
| Durham, NC single city | 1 | $71.55 | $71.55 | $71.55 | 1.0× |
| Durham-Chapel Hill, NC | 1 | $74.79 | $74.79 | $74.79 | 1.0× |
| Eagle River, WI single city | 1 | $324.35 | $324.35 | $324.35 | 1.0× |
| Eagle River, WI both sides single city | 1 | $486.52 | $486.52 | $486.52 | 1.0× |
| East Amery, WI single city | 1 | $83.42 | $83.42 | $83.42 | 1.0× |
| Eau Claire, WI | 3 | $247.95 | $324.35 | $341.05 | 1.4× |
| Eau Claire, WI both sides | 1 | $486.52 | $486.52 | $486.52 | 1.0× |
| Edenton, NC single city | 1 | $263.76 | $263.76 | $263.76 | 1.0× |
| El Centro, CA | 1 | $52.25 | $52.25 | $52.25 | 1.0× |
| El Paso, TX | 2 | $32.82 | $32.82 | $32.82 | 1.0× |
| Elgin, ND single city | 1 | $168.00 | $168.00 | $168.00 | 1.0× |
| Elizabeth City, NC | 1 | $799.00 | $799.00 | $799.00 | 1.0× |
| Elizabethtown, NC single city | 1 | $76.20 | $76.20 | $76.20 | 1.0× |
| Elkhart-Goshen, IN | 1 | $6,786.56 | $6,786.56 | $6,786.56 | 1.0× |
| Ellensburg, WA | 1 | $170.00 | $170.00 | $170.00 | 1.0× |
| Ellsworth, ME single city | 1 | $70.00 | $70.00 | $70.00 | 1.0× |
| Elmira, NY | 2 | $145.34 | $145.34 | $145.34 | 1.0× |
| Eugene-Springfield, OR | 1 | $354.25 | $354.25 | $354.25 | 1.0× |
| Evansville, IN | 1 | $109.23 | $109.23 | $109.23 | 1.0× |
| Fairbanks-College, AK | 1 | $637.45 | $637.45 | $637.45 | 1.0× |
| Fairfax, MO single city | 1 | $112.00 | $112.00 | $112.00 | 1.0× |
| Fairfield, IL single city | 1 | $1,140.00 | $1,140.00 | $1,140.00 | 1.0× |
| Fairmont, WV | 1 | $487.88 | $487.88 | $487.88 | 1.0× |
| Fargo, ND-MN | 1 | $1,243.20 | $1,243.20 | $1,243.20 | 1.0× |
| Farmington, CT single city | 1 | $273.00 | $273.00 | $273.00 | 1.0× |
| Faulkton, SD single city | 1 | $255.85 | $255.85 | $255.85 | 1.0× |
| Fayetteville, NC | 3 | $76.20 | $76.20 | $76.20 | 1.0× |
| Fayetteville-Springdale-Rogers, AR | 2 | $69.20 | $794.64 | $1,520.08 | 22.0× |
| Fergus Falls, MN | 1 | $184.60 | $184.60 | $184.60 | 1.0× |
| Flint, MI | 1 | $261.90 | $261.90 | $261.90 | 1.0× |
| Flora, IL single city | 1 | $426.00 | $426.00 | $426.00 | 1.0× |
| Florence, SC | 1 | $325.18 | $325.18 | $325.18 | 1.0× |
| Fond du Lac, WI | 2 | $206.58 | $262.04 | $317.50 | 1.5× |
| Fort Dodge, IA | 1 | $259.62 | $259.62 | $259.62 | 1.0× |
| Fort Wayne, IN | 5 | $1,880.50 | $1,975.50 | $40,598.62 | 21.6× |
| Fraser, CO single city | 1 | $776.09 | $776.09 | $776.09 | 1.0× |
| Fredericktown, MO single city | 1 | $432.00 | $432.00 | $432.00 | 1.0× |
| Freeport, IL | 1 | $502.40 | $502.40 | $502.40 | 1.0× |
| Fremont, MI single city | 1 | $128.00 | $128.00 | $128.00 | 1.0× |
| Fremont, NE | 1 | $7,652.34 | $7,652.34 | $7,652.34 | 1.0× |
| Fresno, CA | 5 | $152.75 | $320.00 | $320.00 | 2.1× |
| Friendship, WI single city | 1 | $100.58 | $100.58 | $100.58 | 1.0× |
| Gadsden, AL | 2 | $118.00 | $10,280.49 | $20,442.98 | 173.2× |
| Gaffney, SC | 1 | $388.20 | $388.20 | $388.20 | 1.0× |
| Gainesville, FL | 1 | $245.30 | $245.30 | $245.30 | 1.0× |
| Galena, IL single city | 1 | $534.44 | $534.44 | $534.44 | 1.0× |
| Gardnerville Ranchos, NV-CA | 1 | $2,170.00 | $2,170.00 | $2,170.00 | 1.0× |
| Gassaway, WV single city | 1 | $215.50 | $215.50 | $215.50 | 1.0× |
| Gaylord, MI single city | 1 | $198.90 | $198.90 | $198.90 | 1.0× |
| Gettysburg, PA | 1 | $192.80 | $192.80 | $192.80 | 1.0× |
| Glasgow, KY | 1 | $136.50 | $136.50 | $136.50 | 1.0× |
| Glenwood, MN single city | 1 | $560.00 | $560.00 | $560.00 | 1.0× |
| Gloversville, NY | 1 | $169.60 | $169.60 | $169.60 | 1.0× |
| Goldendale, WA single city | 1 | $292.00 | $292.00 | $292.00 | 1.0× |
| Gordon, NE single city | 1 | $300.00 | $300.00 | $300.00 | 1.0× |
| Granbury, TX | 1 | $21,071.60 | $21,071.60 | $21,071.60 | 1.0× |
| Granby, CO single city | 1 | $776.09 | $776.09 | $776.09 | 1.0× |
| Grand Forks, ND-MN | 2 | $219.00 | $237.30 | $255.59 | 1.2× |
| Grand Junction, CO | 1 | $552.30 | $552.30 | $552.30 | 1.0× |
| Grand Rapids, MN | 2 | $108.38 | $319.31 | $530.23 | 4.9× |
| Grand Rapids-Wyoming-Kentwood, MI | 9 | $37.25 | $128.00 | $256.00 | 6.9× |
| Grants, NM single city | 1 | $280.16 | $280.16 | $280.16 | 1.0× |
| Grantsburg, WI single city | 1 | $298.40 | $298.40 | $298.40 | 1.0× |
| Grayling, MI single city | 1 | $198.90 | $198.90 | $198.90 | 1.0× |
| Great Bend, KS | 1 | $187.00 | $187.00 | $187.00 | 1.0× |
| Green Bay, WI | 2 | $146.77 | $232.14 | $317.50 | 2.2× |
| Greeneville, TN | 1 | $55.35 | $55.35 | $55.35 | 1.0× |
| Greenfield, IA single city | 1 | $262.50 | $262.50 | $262.50 | 1.0× |
| Greenfield, OH single city | 1 | $2,180.04 | $2,180.04 | $2,180.04 | 1.0× |
| Greensburg, KS single city | 1 | $127.50 | $127.50 | $127.50 | 1.0× |
| Greenville, ME single city | 1 | $155.50 | $155.50 | $155.50 | 1.0× |
| Greenville, NC | 1 | $129.32 | $129.32 | $129.32 | 1.0× |
| Greenville-Anderson-Greer, SC | 4 | $133.00 | $133.00 | $388.20 | 2.9× |
| Greenwood, SC | 2 | $232.02 | $251.36 | $270.69 | 1.2× |
| Grinnell, IA single city | 1 | $243.05 | $243.05 | $243.05 | 1.0× |
| Gulfport-Biloxi, MS | 3 | $72.60 | $101.70 | $101.70 | 1.4× |
| Hagerstown-Martinsburg, MD-WV | 1 | $153.00 | $153.00 | $153.00 | 1.0× |
| Hailey, ID | 1 | $360.00 | $360.00 | $360.00 | 1.0× |
| Hammond, LA | 2 | $242.67 | $614.77 | $986.86 | 4.1× |
| Hampton, IA single city | 1 | $323.10 | $323.10 | $323.10 | 1.0× |
| Harlan, IA single city | 1 | $383.96 | $383.96 | $383.96 | 1.0× |
| Harrisburg-Carlisle, PA | 5 | $200.20 | $254.40 | $277.63 | 1.4× |
| Harrisonburg, VA | 1 | $859.00 | $859.00 | $859.00 | 1.0× |
| Hartford, CT single city | 2 | $323.40 | $421.70 | $520.00 | 1.6× |
| Harwarden, IA single city | 1 | $684.25 | $684.25 | $684.25 | 1.0× |
| Haxtun, CO single city | 1 | $92.00 | $92.00 | $92.00 | 1.0× |
| Hays, KS | 1 | $62.04 | $62.04 | $62.04 | 1.0× |
| Hazard, KY single city | 1 | $135.00 | $135.00 | $135.00 | 1.0× |
| Helena, MT | 1 | $207.00 | $207.00 | $207.00 | 1.0× |
| Henderson, KY | 1 | $99.30 | $99.30 | $99.30 | 1.0× |
| Hermann, MO single city | 1 | $174.30 | $174.30 | $174.30 | 1.0× |
| Hermitage, PA | 2 | $377.30 | $736.75 | $1,096.20 | 2.9× |
| Hilo-Kailua, HI | 1 | $238.70 | $238.70 | $238.70 | 1.0× |
| Hilton Head Island-Bluffton-Port Royal, SC | 1 | $181.20 | $181.20 | $181.20 | 1.0× |
| Holland, MI | 1 | $117.00 | $117.00 | $117.00 | 1.0× |
| Hood River, OR | 1 | $291.00 | $291.00 | $291.00 | 1.0× |
| Hot Springs, VA single city | 1 | $200.27 | $200.27 | $200.27 | 1.0× |
| Houghton, MI | 1 | $324.35 | $324.35 | $324.35 | 1.0× |
| Houghton, MI both sides | 1 | $486.52 | $486.52 | $486.52 | 1.0× |
| Houma-Bayou Cane-Thibodaux, LA | 3 | $52.64 | $103.84 | $318.18 | 6.0× |
| Houston, MO single city | 1 | $395.00 | $395.00 | $395.00 | 1.0× |
| Houston-Pasadena-The Woodlands, TX | 12 | $54.50 | $105.35 | $309.00 | 5.7× |
| Huntington, IN | 1 | $1,882.50 | $1,882.50 | $1,882.50 | 1.0× |
| Huntington-Ashland, WV-KY-OH | 1 | $124.25 | $124.25 | $124.25 | 1.0× |
| Huntsville, AL | 1 | $51,908.57 | $51,908.57 | $51,908.57 | 1.0× |
| Huron, SD | 1 | $152.70 | $152.70 | $152.70 | 1.0× |
| Hutchinson, KS | 1 | $75.02 | $75.02 | $75.02 | 1.0× |
| Idaho Falls, ID | 3 | $156.80 | $375.00 | $375.00 | 2.4× |
| Ilwaco, WA single city | 1 | $2,107.50 | $2,107.50 | $2,107.50 | 1.0× |
| Imperial, NE single city | 1 | $339.00 | $339.00 | $339.00 | 1.0× |
| Indianapolis-Carmel-Greenwood, IN | 4 | $297.68 | $349.43 | $1,490.40 | 5.0× |
| International Falls, MN single city | 1 | $147.41 | $147.41 | $147.41 | 1.0× |
| Iowa City, IA | 3 | $546.70 | $546.70 | $650.25 | 1.2× |
| Iron River, MI single city | 1 | $324.35 | $324.35 | $324.35 | 1.0× |
| Iron River, MI both sides single city | 1 | $486.52 | $486.52 | $486.52 | 1.0× |
| Ironwood, MI single city | 1 | $324.35 | $324.35 | $324.35 | 1.0× |
| Ironwood, MI both sides single city | 1 | $486.52 | $486.52 | $486.52 | 1.0× |
| Jackson, MS | 3 | $100.00 | $100.00 | $20,913.71 | 209.1× |
| Jacksonville, FL | 1 | $176.02 | $176.02 | $176.02 | 1.0× |
| Jamestown-Dunkirk, NY | 2 | $412.00 | $797.30 | $1,182.60 | 2.9× |
| Janesville-Beloit, WI | 2 | $59.10 | $80.53 | $101.95 | 1.7× |
| John Day, OR single city | 1 | $152.25 | $152.25 | $152.25 | 1.0× |
| Johnson, KS single city | 1 | $371.00 | $371.00 | $371.00 | 1.0× |
| Johnstown, PA | 1 | $268.40 | $268.40 | $268.40 | 1.0× |
| Kalispell, MT | 1 | $150.80 | $150.80 | $150.80 | 1.0× |
| Kansas City, MO-KS | 4 | $123.75 | $239.72 | $355.68 | 2.9× |
| Kellogg, ID single city | 1 | $113.25 | $113.25 | $113.25 | 1.0× |
| Kenansville, NC single city | 1 | $385.28 | $385.28 | $385.28 | 1.0× |
| Kendallville, IN | 1 | $1,916.00 | $1,916.00 | $1,916.00 | 1.0× |
| Kennewick-Richland, WA | 1 | $245.85 | $245.85 | $245.85 | 1.0× |
| Kenton, OH single city | 1 | $804.05 | $804.05 | $804.05 | 1.0× |
| Keosauqua, IA single city | 1 | $1,113.00 | $1,113.00 | $1,113.00 | 1.0× |
| Kill Devil Hills, NC | 1 | $379.68 | $379.68 | $379.68 | 1.0× |
| Killeen-Temple, TX | 3 | $239.98 | $249.58 | $249.58 | 1.0× |
| Kimball, NE single city | 1 | $256.00 | $256.00 | $256.00 | 1.0× |
| Kingsport-Bristol, TN-VA | 3 | $55.35 | $55.35 | $55.35 | 1.0× |
| Kingston, NY | 1 | $771.00 | $771.00 | $771.00 | 1.0× |
| Kinsley, KS single city | 1 | $160.00 | $160.00 | $160.00 | 1.0× |
| Kiowa, KS single city | 1 | $154.40 | $154.40 | $154.40 | 1.0× |
| Kirksville, MO | 1 | $6,446.70 | $6,446.70 | $6,446.70 | 1.0× |
| Kiryas Joel-Poughkeepsie-Newburgh, NY | 1 | $166.08 | $166.08 | $166.08 | 1.0× |
| Klamath Falls, OR | 1 | $131.26 | $131.26 | $131.26 | 1.0× |
| Knoxville, TN | 1 | $7,223.96 | $7,223.96 | $7,223.96 | 1.0× |
| Kotzebue, AK single city | 1 | $531.00 | $531.00 | $531.00 | 1.0× |
| Kremmling, CO single city | 1 | $776.09 | $776.09 | $776.09 | 1.0× |
| La Crosse-Onalaska, WI-MN | 2 | $125.19 | $126.00 | $126.80 | 1.0× |
| La Grande, OR | 1 | $270.06 | $270.06 | $270.06 | 1.0× |
| Ladysmith, WI single city | 1 | $247.95 | $247.95 | $247.95 | 1.0× |
| Lafayette, LA | 1 | $52.00 | $52.00 | $52.00 | 1.0× |
| LaGrange, GA-AL | 1 | $3,895.32 | $3,895.32 | $3,895.32 | 1.0× |
| LaGrange, IN single city | 1 | $1,892.50 | $1,892.50 | $1,892.50 | 1.0× |
| Lake Charles, LA | 2 | $67.20 | $75.08 | $82.96 | 1.2× |
| Lakeland-Winter Haven, FL | 1 | $735.20 | $735.20 | $735.20 | 1.0× |
| Lakeview, OR single city | 1 | $257.55 | $257.55 | $257.55 | 1.0× |
| Lamesa, TX single city | 1 | $808.00 | $808.00 | $808.00 | 1.0× |
| Lancaster, PA | 3 | $192.80 | $242.94 | $254.40 | 1.3× |
| Lansing-East Lansing, MI | 5 | $37.25 | $66.10 | $126.50 | 3.4× |
| Larned, KS single city | 1 | $75.20 | $75.20 | $75.20 | 1.0× |
| Las Cruces, NM | 1 | $34,645.01 | $34,645.01 | $34,645.01 | 1.0× |
| Lebanon, PA | 1 | $192.80 | $192.80 | $192.80 | 1.0× |
| Lebanon-Claremont, NH-VT | 5 | $43.45 | $79.50 | $125.86 | 2.9× |
| Lewiston-Auburn, ME | 1 | $102.98 | $102.98 | $102.98 | 1.0× |
| Lexington, NE | 1 | $224.00 | $224.00 | $224.00 | 1.0× |
| Lexington-Fayette, KY | 2 | $225.04 | $2,162.81 | $4,100.57 | 18.2× |
| Lima, OH | 1 | $436.50 | $436.50 | $436.50 | 1.0× |
| Linton, IN single city | 1 | $327.81 | $327.81 | $327.81 | 1.0× |
| Litchfield, MN single city | 1 | $247.68 | $247.68 | $247.68 | 1.0× |
| Little Rock-North Little Rock-Conway, AR | 6 | $44.01 | $496.20 | $1,144.91 | 26.0× |
| Littlefield, TX single city | 1 | $100.00 | $100.00 | $100.00 | 1.0× |
| Livingston, MT single city | 1 | $286.90 | $286.90 | $286.90 | 1.0× |
| Los Angeles-Long Beach-Anaheim, CA | 16 | $70.08 | $364.00 | $812.50 | 11.6× |
| Lousiana, MO single city | 1 | $116.00 | $116.00 | $116.00 | 1.0× |
| Lubbock, TX | 1 | $63.00 | $63.00 | $63.00 | 1.0× |
| Ludington, MI | 1 | $128.00 | $128.00 | $128.00 | 1.0× |
| Luther Eads, CO single city | 1 | $201.60 | $201.60 | $201.60 | 1.0× |
| Lyons, KS single city | 1 | $135.00 | $135.00 | $135.00 | 1.0× |
| Macon-Bibb County, GA | 3 | $116.00 | $299.70 | $299.70 | 2.6× |
| Madison, MN single city | 1 | $170.64 | $170.64 | $170.64 | 1.0× |
| Madison, SD single city | 1 | $276.00 | $276.00 | $276.00 | 1.0× |
| Madison, WI | 2 | $324.35 | $505.03 | $685.71 | 2.1× |
| Madison, WI both sides | 1 | $486.52 | $486.52 | $486.52 | 1.0× |
| Madisonville, KY | 1 | $113.74 | $113.74 | $113.74 | 1.0× |
| Malta, MT single city | 1 | $374.00 | $374.00 | $374.00 | 1.0× |
| Manchester, CT single city | 1 | $501.69 | $501.69 | $501.69 | 1.0× |
| Manchester, IA single city | 1 | $316.00 | $316.00 | $316.00 | 1.0× |
| Manchester-Nashua, NH | 1 | $104.13 | $104.13 | $104.13 | 1.0× |
| Manistee, MI single city | 1 | $1,224.85 | $1,224.85 | $1,224.85 | 1.0× |
| Manitowoc, WI | 1 | $317.50 | $317.50 | $317.50 | 1.0× |
| Mankato, KS single city | 1 | $93.75 | $93.75 | $93.75 | 1.0× |
| Manning, SC single city | 1 | $325.18 | $325.18 | $325.18 | 1.0× |
| Mansfield, OH | 2 | $564.20 | $564.20 | $564.20 | 1.0× |
| Marble Falls, TX single city | 1 | $239.98 | $239.98 | $239.98 | 1.0× |
| Margaretville, NY single city | 1 | $771.00 | $771.00 | $771.00 | 1.0× |
| Marietta, OH | 2 | $61.82 | $131.45 | $201.07 | 3.3× |
| Marion, OH | 1 | $523.90 | $523.90 | $523.90 | 1.0× |
| Mason City, IA | 1 | $87.10 | $87.10 | $87.10 | 1.0× |
| Massena-Ogdensburg, NY | 3 | $284.91 | $286.42 | $290.50 | 1.0× |
| McAlester, OK | 1 | $214.00 | $214.00 | $214.00 | 1.0× |
| McAllen-Edinburg-Mission, TX | 1 | $133.00 | $133.00 | $133.00 | 1.0× |
| McCall, ID single city | 1 | $360.00 | $360.00 | $360.00 | 1.0× |
| McCook, NE single city | 1 | $352.58 | $352.58 | $352.58 | 1.0× |
| McPherson, KS | 1 | $241.98 | $241.98 | $241.98 | 1.0× |
| Meadville, PA | 1 | $112.80 | $112.80 | $112.80 | 1.0× |
| Medford, WI single city | 1 | $324.35 | $324.35 | $324.35 | 1.0× |
| Medford, WI both sides single city | 1 | $486.52 | $486.52 | $486.52 | 1.0× |
| Medicine Lodge, KS single city | 1 | $200.00 | $200.00 | $200.00 | 1.0× |
| Memphis, MO single city | 1 | $182.00 | $182.00 | $182.00 | 1.0× |
| Memphis, TN-MS-AR | 11 | $33.60 | $36,801.61 | $36,886.72 | 1097.8× |
| Merced, CA | 1 | $150.32 | $150.32 | $150.32 | 1.0× |
| Meridian, MS | 2 | $75.85 | $119.90 | $163.94 | 2.2× |
| Merrill, WI single city | 1 | $324.35 | $324.35 | $324.35 | 1.0× |
| Merrill, WI both sides single city | 1 | $486.52 | $486.52 | $486.52 | 1.0× |
| Miami-Fort Lauderdale-West Palm Beach, FL | 13 | $120.00 | $296.80 | $9,011.00 | 75.1× |
| Middlebury, VT single city | 1 | $229.00 | $229.00 | $229.00 | 1.0× |
| Milwaukee-Waukesha, WI | 12 | $71.23 | $317.50 | $317.50 | 4.5× |
| Minden, LA | 1 | $102.33 | $102.33 | $102.33 | 1.0× |
| Minneapolis-St. Paul-Bloomington, MN-WI | 15 | $105.20 | $624.74 | $1,968.72 | 18.7× |
| Minocqua, WI single city | 1 | $247.95 | $247.95 | $247.95 | 1.0× |
| Minot, ND | 2 | $132.80 | $132.80 | $132.80 | 1.0× |
| Moab, UT single city | 1 | $47.42 | $47.42 | $47.42 | 1.0× |
| Mobridge, SD single city | 1 | $408.00 | $408.00 | $408.00 | 1.0× |
| Modesto, CA | 1 | $280.00 | $280.00 | $280.00 | 1.0× |
| Monroe, LA | 2 | $90.39 | $105.71 | $121.03 | 1.3× |
| Monroeville, AL single city | 1 | $80.00 | $80.00 | $80.00 | 1.0× |
| Montour Falls, NY single city | 1 | $190.58 | $190.58 | $190.58 | 1.0× |
| Morgan City, LA | 1 | $211.40 | $211.40 | $211.40 | 1.0× |
| Morgantown, WV | 2 | $89.75 | $167.88 | $246.00 | 2.7× |
| Morris, MN single city | 1 | $175.50 | $175.50 | $175.50 | 1.0× |
| Moscow, ID | 1 | $76.29 | $76.29 | $76.29 | 1.0× |
| Moses Lake, WA | 2 | $276.13 | $312.07 | $348.00 | 1.3× |
| Moultrie, GA | 1 | $545.00 | $545.00 | $545.00 | 1.0× |
| Mount Airy, NC | 2 | $62.56 | $94.78 | $127.00 | 2.0× |
| Mount Pleasant, MI | 1 | $149.65 | $149.65 | $149.65 | 1.0× |
| Mount Vernon, OH | 1 | $191.87 | $191.87 | $191.87 | 1.0× |
| Mount Vernon-Anacortes, WA | 1 | $116.00 | $116.00 | $116.00 | 1.0× |
| Mountain Home, AR | 1 | $319.25 | $319.25 | $319.25 | 1.0× |
| Muskegon-Norton Shores, MI | 1 | $78.00 | $78.00 | $78.00 | 1.0× |
| Myrtle Beach-Conway-North Myrtle Beach, SC | 4 | $134.00 | $325.18 | $325.18 | 2.4× |
| Nacogdoches, TX | 1 | $58.00 | $58.00 | $58.00 | 1.0× |
| Naples-Marco Island, FL | 1 | $19,288.63 | $19,288.63 | $19,288.63 | 1.0× |
| Napoleon, OH single city | 1 | $90.00 | $90.00 | $90.00 | 1.0× |
| Nashville-Davidson--Murfreesboro--Franklin, TN | 3 | $166.35 | $171.39 | $546.00 | 3.3× |
| Natchitoches, LA | 2 | $135.20 | $245.10 | $355.00 | 2.6× |
| Neillsville, WI single city | 1 | $247.95 | $247.95 | $247.95 | 1.0× |
| Neodesha, KS single city | 1 | $99.75 | $99.75 | $99.75 | 1.0× |
| Nevada, MO single city | 1 | $191.70 | $191.70 | $191.70 | 1.0× |
| New Britain, CT single city | 1 | $455.52 | $455.52 | $455.52 | 1.0× |
| New Castle, IN | 1 | $312.97 | $312.97 | $312.97 | 1.0× |
| New Hampton, IA single city | 1 | $242.45 | $242.45 | $242.45 | 1.0× |
| New London, WI single city | 1 | $206.58 | $206.58 | $206.58 | 1.0× |
| New Martinsville, WV single city | 1 | $172.50 | $172.50 | $172.50 | 1.0× |
| New Orleans-Metairie, LA | 10 | $31.84 | $55.88 | $28,462.28 | 893.9× |
| New Philadelphia-Dover, OH | 1 | $251.55 | $251.55 | $251.55 | 1.0× |
| New Ulm, MN | 1 | $239.16 | $239.16 | $239.16 | 1.0× |
| New York-Newark-Jersey City, NY-NJ | 73 | $114.11 | $178.32 | $8,205.68 | 71.9× |
| Newport, OR | 2 | $48.00 | $48.00 | $48.00 | 1.0× |
| Nome, AK single city | 1 | $170.00 | $170.00 | $170.00 | 1.0× |
| Norfolk, NE | 1 | $106.64 | $106.64 | $106.64 | 1.0× |
| North Wilkesboro, NC | 1 | $122.00 | $122.00 | $122.00 | 1.0× |
| Norton, KS single city | 1 | $288.40 | $288.40 | $288.40 | 1.0× |
| Norwich, CT single city | 1 | $360.00 | $360.00 | $360.00 | 1.0× |
| Oakley, KS single city | 1 | $160.00 | $160.00 | $160.00 | 1.0× |
| Oberlin, KS single city | 1 | $486.90 | $486.90 | $486.90 | 1.0× |
| Ocean Pines, MD | 1 | $355.00 | $355.00 | $355.00 | 1.0× |
| Odessa, TX | 1 | $527.00 | $527.00 | $527.00 | 1.0× |
| Oil City, PA | 1 | $1,447.80 | $1,447.80 | $1,447.80 | 1.0× |
| Okeene, OK single city | 1 | $181.60 | $181.60 | $181.60 | 1.0× |
| Oklahoma City, OK | 1 | $78.30 | $78.30 | $78.30 | 1.0× |
| Omaha, NE-IA | 7 | $62.00 | $178.75 | $2,579.76 | 41.6× |
| Oneonta, NY | 1 | $36.86 | $36.86 | $36.86 | 1.0× |
| Ontario, OR-ID | 1 | $166.40 | $166.40 | $166.40 | 1.0× |
| Orangeburg, SC | 1 | $139.50 | $139.50 | $139.50 | 1.0× |
| Ord, NE single city | 1 | $292.50 | $292.50 | $292.50 | 1.0× |
| Orlando-Kissimmee-Sanford, FL | 8 | $245.30 | $735.20 | $5,685.00 | 23.2× |
| Orofino, ID single city | 1 | $83.25 | $83.25 | $83.25 | 1.0× |
| Oshkosh-Neenah, WI | 3 | $206.58 | $206.58 | $317.50 | 1.5× |
| Owosso, MI | 1 | $124.00 | $124.00 | $124.00 | 1.0× |
| Paducah, KY-IL | 1 | $221.70 | $221.70 | $221.70 | 1.0× |
| Pagosa Springs, CO single city | 1 | $232.00 | $232.00 | $232.00 | 1.0× |
| Palm Bay-Melbourne-Titusville, FL | 1 | $735.20 | $735.20 | $735.20 | 1.0× |
| Panama City-Panama City Beach, FL | 1 | $85.60 | $85.60 | $85.60 | 1.0× |
| Park Falls, WI single city | 1 | $247.95 | $247.95 | $247.95 | 1.0× |
| Park Rapids, MN single city | 1 | $40.88 | $40.88 | $40.88 | 1.0× |
| Parkersburg-Vienna, WV | 1 | $153.00 | $153.00 | $153.00 | 1.0× |
| Paulidng, OH single city | 1 | $82.96 | $82.96 | $82.96 | 1.0× |
| Pawnee City, NE single city | 1 | $178.00 | $178.00 | $178.00 | 1.0× |
| Pearsall, TX single city | 1 | $214.00 | $214.00 | $214.00 | 1.0× |
| Peoria, IL | 1 | $399.00 | $399.00 | $399.00 | 1.0× |
| Perryton, TX single city | 1 | $238.00 | $238.00 | $238.00 | 1.0× |
| Philadelphia-Camden-Wilmington, PA-NJ-DE-MD | 11 | $35.30 | $218.40 | $621.00 | 17.6× |
| Philippi, WV single city | 1 | $123.92 | $123.92 | $123.92 | 1.0× |
| Phillipsburg, KS single city | 1 | $191.25 | $191.25 | $191.25 | 1.0× |
| Phoenix-Mesa-Chandler, AZ | 4 | $92.99 | $138.98 | $327.36 | 3.5× |
| Pinckneyville, IL single city | 1 | $354.00 | $354.00 | $354.00 | 1.0× |
| Pine Bluff, AR | 1 | $318.75 | $318.75 | $318.75 | 1.0× |
| Pittsburgh, PA | 5 | $153.00 | $376.68 | $1,523.40 | 10.0× |
| Pittsfield, MA | 1 | $433.20 | $433.20 | $433.20 | 1.0× |
| Pittsfield, ME single city | 1 | $105.74 | $105.74 | $105.74 | 1.0× |
| Plainview, TX | 1 | $63.00 | $63.00 | $63.00 | 1.0× |
| Plainville, KS single city | 1 | $168.75 | $168.75 | $168.75 | 1.0× |
| Platteville, WI | 2 | $108.15 | $114.08 | $120.00 | 1.1× |
| Polson, MT single city | 1 | $92.80 | $92.80 | $92.80 | 1.0× |
| Poplar, MT single city | 1 | $408.00 | $408.00 | $408.00 | 1.0× |
| Port St. Lucie, FL | 1 | $314.60 | $314.60 | $314.60 | 1.0× |
| Port Townsend, WA | 2 | $428.80 | $2,094.40 | $3,760.00 | 8.8× |
| Portland-South Portland, ME | 1 | $58.76 | $58.76 | $58.76 | 1.0× |
| Portland-Vancouver-Hillsboro, OR-WA | 14 | $104.65 | $482.30 | $534.75 | 5.1× |
| Prairie Du Chien, WI single city | 1 | $298.00 | $298.00 | $298.00 | 1.0× |
| Presque Isle, ME single city | 1 | $56.49 | $56.49 | $56.49 | 1.0× |
| Providence-Warwick, RI-MA | 4 | $373.10 | $399.05 | $425.00 | 1.1× |
| Quincy, CA single city | 1 | $317.60 | $317.60 | $317.60 | 1.0× |
| Racine-Mount Pleasant, WI | 2 | $317.50 | $317.50 | $317.50 | 1.0× |
| Raleigh-Cary, NC | 3 | $71.55 | $127.30 | $127.30 | 1.8× |
| Rapid City, SD | 5 | $237.34 | $308.00 | $525.80 | 2.2× |
| Rawlins, WY single city | 1 | $182.25 | $182.25 | $182.25 | 1.0× |
| Reading, PA | 1 | $217.96 | $217.96 | $217.96 | 1.0× |
| Redding, CA | 1 | $170.00 | $170.00 | $170.00 | 1.0× |
| Reed City, MI single city | 1 | $128.00 | $128.00 | $128.00 | 1.0× |
| Refugio, TX single city | 1 | $400.48 | $400.48 | $400.48 | 1.0× |
| Reno, NV | 1 | $372.00 | $372.00 | $372.00 | 1.0× |
| Republic, WA single city | 1 | $193.94 | $193.94 | $193.94 | 1.0× |
| Rhinelander, WI single city | 1 | $324.35 | $324.35 | $324.35 | 1.0× |
| Rhinelander, WI both sides single city | 1 | $486.52 | $486.52 | $486.52 | 1.0× |
| Rice Lake, WI | 2 | $247.95 | $322.30 | $396.65 | 1.6× |
| Richmond, VA | 3 | $124.20 | $6,738.74 | $23,930.31 | 192.7× |
| Ripley, WV single city | 1 | $250.00 | $250.00 | $250.00 | 1.0× |
| Riverside-San Bernardino-Ontario, CA | 9 | $60.00 | $364.00 | $775.00 | 12.9× |
| Roanoke Rapids, NC | 1 | $254.24 | $254.24 | $254.24 | 1.0× |
| Roanoke, VA | 2 | $292.60 | $292.60 | $292.60 | 1.0× |
| Rochester, NY | 7 | $210.00 | $335.52 | $538.90 | 2.6× |
| Rockford, IL | 1 | $107.05 | $107.05 | $107.05 | 1.0× |
| Rocky Mount, NC | 1 | $135.52 | $135.52 | $135.52 | 1.0× |
| Rolla, MO | 1 | $99.18 | $99.18 | $99.18 | 1.0× |
| Rome, GA | 1 | $720.00 | $720.00 | $720.00 | 1.0× |
| Roseau, MN single city | 1 | $264.88 | $264.88 | $264.88 | 1.0× |
| Roseburg, OR | 1 | $197.88 | $197.88 | $197.88 | 1.0× |
| Rotan, TX single city | 1 | $314.00 | $314.00 | $314.00 | 1.0× |
| Roundup, MT single city | 1 | $553.00 | $553.00 | $553.00 | 1.0× |
| Ruleville, MS single city | 1 | $132.00 | $132.00 | $132.00 | 1.0× |
| Rushville, IN single city | 1 | $157.05 | $157.05 | $157.05 | 1.0× |
| Sacramento-Roseville-Folsom, CA | 4 | $280.00 | $280.00 | $8,657.00 | 30.9× |
| Saint Francis, KS single city | 1 | $195.50 | $195.50 | $195.50 | 1.0× |
| Salem, OH | 1 | $451.25 | $451.25 | $451.25 | 1.0× |
| Salem, OR | 3 | $247.65 | $270.30 | $270.30 | 1.1× |
| Salinas, CA | 1 | $157.50 | $157.50 | $157.50 | 1.0× |
| Salisbury, MD | 1 | $210.64 | $210.64 | $210.64 | 1.0× |
| Salmon, ID single city | 1 | $304.50 | $304.50 | $304.50 | 1.0× |
| Salt Lake City-Murray, UT | 1 | $197.61 | $197.61 | $197.61 | 1.0× |
| San Andreas, CA single city | 1 | $213.61 | $213.61 | $213.61 | 1.0× |
| San Antonio-New Braunfels, TX | 2 | $198.13 | $200.82 | $203.50 | 1.0× |
| San Diego-Chula Vista-Carlsbad, CA | 9 | $284.26 | $284.26 | $466.95 | 1.6× |
| San Francisco-Oakland-Fremont, CA | 11 | $280.00 | $280.00 | $638.00 | 2.3× |
| San Jose-Sunnyvale-Santa Clara, CA | 4 | $280.00 | $336.00 | $403.60 | 1.4× |
| Sandpoint, ID | 1 | $98.40 | $98.40 | $98.40 | 1.0× |
| Santa Rosa-Petaluma, CA | 2 | $280.00 | $319.52 | $359.04 | 1.3× |
| Satanta, KS single city | 1 | $81.90 | $81.90 | $81.90 | 1.0× |
| Sayre, PA | 3 | $273.42 | $273.42 | $273.42 | 1.0× |
| Scobey, MT single city | 1 | $606.90 | $606.90 | $606.90 | 1.0× |
| Seaford, DE | 3 | $304.28 | $328.10 | $522.48 | 1.7× |
| Seattle-Tacoma-Bellevue, WA | 12 | $92.30 | $145.21 | $571.00 | 6.2× |
| Sebastian-Vero Beach-West Vero Corridor, FL | 2 | $314.60 | $524.90 | $735.20 | 2.3× |
| Seminole, TX single city | 1 | $520.01 | $520.01 | $520.01 | 1.0× |
| Seneca, KS single city | 1 | $125.10 | $125.10 | $125.10 | 1.0× |
| Shawano, WI | 1 | $206.58 | $206.58 | $206.58 | 1.0× |
| Sheboygan, WI | 1 | $317.50 | $317.50 | $317.50 | 1.0× |
| Shelby-Kings Mountain, NC | 1 | $298.00 | $298.00 | $298.00 | 1.0× |
| Shelbyville, TN | 1 | $171.39 | $171.39 | $171.39 | 1.0× |
| Sheldon, IA single city | 1 | $470.40 | $470.40 | $470.40 | 1.0× |
| Sherman-Denison, TX | 1 | $713.40 | $713.40 | $713.40 | 1.0× |
| Shreveport-Bossier City, LA | 3 | $72.80 | $78.40 | $308.00 | 4.2× |
| Sidney, MT single city | 1 | $286.69 | $286.69 | $286.69 | 1.0× |
| Sierra Vista-Douglas, AZ | 1 | $415.20 | $415.20 | $415.20 | 1.0× |
| Sioux Falls, SD-MN | 2 | $345.00 | $398.90 | $452.80 | 1.3× |
| Sistersville, WV single city | 1 | $165.52 | $165.52 | $165.52 | 1.0× |
| Skowhegan, ME single city | 1 | $150.75 | $150.75 | $150.75 | 1.0× |
| Slidell-Mandeville-Covington, LA | 1 | $50.12 | $50.12 | $50.12 | 1.0× |
| Smith Center, KS single city | 1 | $259.00 | $259.00 | $259.00 | 1.0× |
| Somerset, PA | 1 | $254.40 | $254.40 | $254.40 | 1.0× |
| South Bend-Mishawaka, IN-MI | 1 | $32,545.58 | $32,545.58 | $32,545.58 | 1.0× |
| South Boston, VA single city | 1 | $1,151.00 | $1,151.00 | $1,151.00 | 1.0× |
| Sparta, WI | 1 | $204.70 | $204.70 | $204.70 | 1.0× |
| Spartanburg, SC | 3 | $388.20 | $388.20 | $388.20 | 1.0× |
| Spearfish, SD | 2 | $308.00 | $308.00 | $308.00 | 1.0× |
| Spirit Lake, IA | 1 | $491.15 | $491.15 | $491.15 | 1.0× |
| Spokane-Spokane Valley, WA | 1 | $259.00 | $259.00 | $259.00 | 1.0× |
| Springfield, MA | 1 | $170.00 | $170.00 | $170.00 | 1.0× |
| Springfield, MO | 3 | $321.60 | $1,509.95 | $1,509.95 | 4.7× |
| St. Johnsbury, VT single city | 1 | $151.50 | $151.50 | $151.50 | 1.0× |
| St. Joseph, MO-KS | 2 | $85.00 | $85.00 | $85.00 | 1.0× |
| St. Louis, MO-IL | 3 | $179.90 | $386.75 | $413.00 | 2.3× |
| Staples, MN single city | 1 | $230.64 | $230.64 | $230.64 | 1.0× |
| Ste. Genevieve, MO single city | 1 | $159.50 | $159.50 | $159.50 | 1.0× |
| Sterling, IL | 1 | $339.25 | $339.25 | $339.25 | 1.0× |
| Stevens Point-Plover, WI | 3 | $247.95 | $324.35 | $324.35 | 1.3× |
| Stevens Point-Plover, WI both sides | 2 | $486.52 | $486.52 | $486.52 | 1.0× |
| Stockton-Lodi, CA | 1 | $280.00 | $280.00 | $280.00 | 1.0× |
| Suffolk, VA single city | 1 | $919.00 | $919.00 | $919.00 | 1.0× |
| Sulphur, OK single city | 1 | $281.00 | $281.00 | $281.00 | 1.0× |
| Summersville, WV single city | 1 | $160.50 | $160.50 | $160.50 | 1.0× |
| Sylva, NC single city | 1 | $2,262.35 | $2,262.35 | $2,262.35 | 1.0× |
| Syracuse, KS single city | 1 | $77.00 | $77.00 | $77.00 | 1.0× |
| Tallahassee, FL | 1 | $770.00 | $770.00 | $770.00 | 1.0× |
| Tampa-St. Petersburg-Clearwater, FL | 4 | $735.20 | $993.62 | $1,363.25 | 1.9× |
| Taylorville, IL | 1 | $175.00 | $175.00 | $175.00 | 1.0× |
| Temple, TX single city | 1 | $249.58 | $249.58 | $249.58 | 1.0× |
| Terre Haute, IN | 1 | $258.75 | $258.75 | $258.75 | 1.0× |
| Tiffin, OH | 1 | $220.80 | $220.80 | $220.80 | 1.0× |
| Toledo, OH | 2 | $190.20 | $752.70 | $1,315.20 | 6.9× |
| Tomahawk, WI single city | 1 | $324.35 | $324.35 | $324.35 | 1.0× |
| Tomahawk, WI both sides single city | 1 | $486.52 | $486.52 | $486.52 | 1.0× |
| Topeka, KS | 1 | $150.75 | $150.75 | $150.75 | 1.0× |
| Torrington, CT single city | 1 | $455.52 | $455.52 | $455.52 | 1.0× |
| Traverse City, MI | 3 | $166.60 | $197.20 | $197.20 | 1.2× |
| Trenton-Princeton, NJ | 3 | $666.00 | $666.00 | $5,110.00 | 7.7× |
| Tribune, KS single city | 1 | $189.00 | $189.00 | $189.00 | 1.0× |
| Truckee-Grass Valley, CA | 1 | $372.00 | $372.00 | $372.00 | 1.0× |
| Tucson, AZ | 3 | $50.51 | $31,375.45 | $49,153.92 | 973.2× |
| Tulia, TX single city | 1 | $130.00 | $130.00 | $130.00 | 1.0× |
| Tullahoma-Manchester, TN | 1 | $171.39 | $171.39 | $171.39 | 1.0× |
| Tulsa, OK | 2 | $99.00 | $164.35 | $229.70 | 2.3× |
| Twin Falls, ID | 1 | $360.00 | $360.00 | $360.00 | 1.0× |
| Two Harbors, MN single city | 1 | $410.68 | $410.68 | $410.68 | 1.0× |
| Two Harbors, MN both sides single city | 1 | $616.02 | $616.02 | $616.02 | 1.0× |
| Tyler, TX | 1 | $39.50 | $39.50 | $39.50 | 1.0× |
| Union City, TN | 1 | $44.80 | $44.80 | $44.80 | 1.0× |
| Upper Sandusky, OH single city | 1 | $32.94 | $32.94 | $32.94 | 1.0× |
| Urban Honolulu, HI | 4 | $238.70 | $238.70 | $279.75 | 1.2× |
| Utah Hiawatha, KS single city | 1 | $288.00 | $288.00 | $288.00 | 1.0× |
| Utica-Rome, NY | 2 | $116.40 | $4,773.82 | $9,431.24 | 81.0× |
| Valdez, AK single city | 1 | $202.80 | $202.80 | $202.80 | 1.0× |
| Vallejo, CA | 2 | $280.00 | $280.00 | $280.00 | 1.0× |
| Van Wert, OH | 1 | $572.00 | $572.00 | $572.00 | 1.0× |
| Vincennes, IN | 1 | $189.60 | $189.60 | $189.60 | 1.0× |
| Virginia Beach-Chesapeake-Norfolk, VA-NC | 8 | $41.36 | $919.00 | $919.00 | 22.2× |
| Visalia, CA | 2 | $121.00 | $539.65 | $958.30 | 7.9× |
| Wabash, IN | 1 | $1,938.00 | $1,938.00 | $1,938.00 | 1.0× |
| Waco, TX | 1 | $239.98 | $239.98 | $239.98 | 1.0× |
| Wahpeton, ND-MN | 1 | $44.53 | $44.53 | $44.53 | 1.0× |
| Warren, PA | 1 | $432.00 | $432.00 | $432.00 | 1.0× |
| Washington Court House, OH | 1 | $4,360.07 | $4,360.07 | $4,360.07 | 1.0× |
| Washington, NC | 1 | $129.32 | $129.32 | $129.32 | 1.0× |
| Washington-Arlington-Alexandria, DC-VA-MD-WV | 11 | $127.50 | $564.50 | $919.00 | 7.2× |
| Waterloo-Cedar Falls, IA | 1 | $421.20 | $421.20 | $421.20 | 1.0× |
| Watertown-Fort Atkinson, WI | 1 | $123.20 | $123.20 | $123.20 | 1.0× |
| Watertown-Fort Drum, NY | 1 | $278.50 | $278.50 | $278.50 | 1.0× |
| Watford City, ND single city | 1 | $192.40 | $192.40 | $192.40 | 1.0× |
| Waupaca, WI single city | 1 | $206.58 | $206.58 | $206.58 | 1.0× |
| Wausau, WI | 2 | $247.95 | $286.15 | $324.35 | 1.3× |
| Wausau, WI both sides | 1 | $486.52 | $486.52 | $486.52 | 1.0× |
| Waverly, OH single city | 1 | $2,180.04 | $2,180.04 | $2,180.04 | 1.0× |
| Wayne, NE single city | 1 | $209.95 | $209.95 | $209.95 | 1.0× |
| Waynesboro, MS single city | 1 | $618.00 | $618.00 | $618.00 | 1.0× |
| Weatherford, OK | 2 | $210.02 | $233.01 | $256.00 | 1.2× |
| Weaverville, CA single city | 1 | $165.00 | $165.00 | $165.00 | 1.0× |
| Weirton-Steubenville, WV-OH | 1 | $147.00 | $147.00 | $147.00 | 1.0× |
| Wellsboro, PA single city | 1 | $1,437.00 | $1,437.00 | $1,437.00 | 1.0× |
| Wellsville, NY single city | 1 | $244.00 | $244.00 | $244.00 | 1.0× |
| Wenatchee-East Wenatchee, WA | 3 | $144.90 | $356.80 | $485.90 | 3.4× |
| West Union, IA single city | 1 | $278.59 | $278.59 | $278.59 | 1.0× |
| Wheeling, WV-OH | 2 | $153.00 | $163.50 | $174.00 | 1.1× |
| White Sulphur Springs, MT single city | 1 | $86.03 | $86.03 | $86.03 | 1.0× |
| Whitehall, WI single city | 1 | $280.23 | $280.23 | $280.23 | 1.0× |
| Whitewater-Elkhorn, WI | 1 | $317.50 | $317.50 | $317.50 | 1.0× |
| Wichita Falls, TX | 1 | $197.40 | $197.40 | $197.40 | 1.0× |
| Wild Rose, WI single city | 1 | $206.58 | $206.58 | $206.58 | 1.0× |
| Williamsport, PA | 1 | $87.60 | $87.60 | $87.60 | 1.0× |
| Willimantic, CT single city | 1 | $360.00 | $360.00 | $360.00 | 1.0× |
| Williston, ND | 1 | $467.00 | $467.00 | $467.00 | 1.0× |
| Winchester, TN | 1 | $3,652.16 | $3,652.16 | $3,652.16 | 1.0× |
| Windsor, NC single city | 1 | $59.92 | $59.92 | $59.92 | 1.0× |
| Winner, SD single city | 1 | $556.00 | $556.00 | $556.00 | 1.0× |
| Winnsboro, LA single city | 1 | $80.40 | $80.40 | $80.40 | 1.0× |
| Winston-Salem, NC | 3 | $122.00 | $124.00 | $129.00 | 1.1× |
| Wisconsin Rapids-Marshfield, WI | 2 | $247.95 | $286.15 | $324.35 | 1.3× |
| Wisconsin Rapids-Marshfield, WI both sides | 1 | $486.52 | $486.52 | $486.52 | 1.0× |
| Wolf Point, MT single city | 1 | $408.00 | $408.00 | $408.00 | 1.0× |
| Wolfeboro, NH single city | 1 | $70.50 | $70.50 | $70.50 | 1.0× |
| Woodruff, WI single city | 1 | $324.35 | $324.35 | $324.35 | 1.0× |
| Woodruff, WI both sides single city | 1 | $486.52 | $486.52 | $486.52 | 1.0× |
| Worcester, MA | 2 | $435.00 | $1,349.50 | $2,264.00 | 5.2× |
| Yakima, WA | 1 | $291.20 | $291.20 | $291.20 | 1.0× |
| York, NE single city | 1 | $363.75 | $363.75 | $363.75 | 1.0× |
| York-Hanover, PA | 3 | $192.80 | $254.40 | $254.40 | 1.3× |
| Youngstown-Warren, OH | 1 | $17,134.62 | $17,134.62 | $17,134.62 | 1.0× |
| Yreka, CA single city | 1 | $686.00 | $686.00 | $686.00 | 1.0× |
| Yuma, AZ | 1 | $116.35 | $116.35 | $116.35 | 1.0× |
Market A metro area (as the Census Bureau defines it) or, outside metro areas, a town. Each links to every hospital price there.
Hospitals How many hospitals publish a cash price for this code here. Each hospital counts once, at its lowest outpatient cash price.
Lowest The lowest cash price among those hospitals.
Median The middle cash price: half of the hospitals charge less, half charge more. One price per hospital. More
Highest The highest cash price among those hospitals. A single very high price can be an error in the file; check the median too.
Highest ÷ lowest How many times the highest cash price is above the lowest in the same market.
Common questions
What is CPT code 11981?
CPT 11981 is the billing code for insertion of a drug-delivery implant, such as the arm birth control implant. This is insertion of a small rod-shaped implant under the skin that slowly releases medicine; the most common use is the contraceptive implant placed in the upper arm. It is done in an office with local numbing.
Is removal a different code?
Yes. Removal is billed as 11982, and removal with a new implant in the same visit as 11983.
How long does it take?
The insertion itself takes only a few minutes under local numbing.
How much does Medicare pay for CPT 11981 (Birth control implant insertion)?
$135.93 is Medicare's 2026 national base rate for this service in a hospital outpatient department, including the patient's share and before the local wage adjustment. The median hospital cash price, $271.23 across 1,294 hospitals, is 2.0× that.
Is it cheaper to pay cash or use insurance for birth control implant insertion?
It depends on your deductible. Until you meet it, you pay your plan's negotiated rate, not the cash price. In hospital price files the highest negotiated rate for birth control implant insertion has a median of $525.34 and the lowest a median of $103.16; at 883 of 1,010 hospitals the cash price is below the highest negotiated rate. A cash payment may not count toward your deductible, so ask your plan for its rate at that hospital first.
Which states have the cheapest birth control implant insertion?
Among 44 states with at least 5 hospitals listing a cash price, the median is lowest in New Hampshire ($87.32), Louisiana ($96.36) and Maine ($126.13), and highest in Indiana ($1,880.50), Virginia ($564.50) and Massachusetts ($549.00). Prices vary as much between hospitals in the same state, so compare hospitals near you.