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Key takeaways
Nexplanon is a brand-name hormonal contraceptive implant that is often covered by commercial insurance plans.
Nexplanon’s retail price averages around $1,533 without insurance, but this cost does not include the cost of the implantation or removal procedures.
Alternatives to Nexplanon, such as intrauterine devices (IUDs) and other forms of contraceptives, may be more accessible to those without insurance.
Community health clinics and nonprofit organizations, such as Planned Parenthood, may also assist with reducing the costs of Nexplanon.
Nexplanon is a long-acting birth control implant that contains a progestin called etonogestrel. It is inserted just under the skin by a healthcare professional and can prevent pregnancy for up to three years.
While many people with insurance pay little to nothing for the implant, the average out-of-pocket cost without insurance can be over $1,500, excluding the costs of insertion or removal. The upfront costs may be high for some, but they are a one-time expense that can sometimes be managed through assistance programs or other alternatives.
Save up to 80% on Nexplanon with SingleCare
Different pharmacies offer different prices for the same medication. SingleCare helps find the best price for you.
Related: Nexplanon side effects and how to avoid them
How much does Nexplanon cost without insurance?
The cost of Nexplanon without insurance can change based on different factors, such as:
- The location of the clinic or facility that gives the implant
- The fees charged for a consultation and inserting or removing the implant
- How much the healthcare provider charges for the implant itself
The average retail price for a single Nexplanon implant is $1,533, but the actual costs you pay could be higher or lower. Since this upper arm implant has a three-year life-span, the average monthly cost of the implant could be around $43 if it’s worn for the full three years.
Nexplanon doesn’t have a generic alternative currently available. However, other FDA-approved options for long-term birth control, like intrauterine devices (IUDs) and vaginal rings, may be more accessible for some. Progestin-only and ultra-low estrogen birth control pills are alternatives that may also have lower costs than a Nexplanon implant.
Is there a generic for Nexplanon?
Nexplanon can only be purchased as a brand-name drug. In the U.S., there’s no other hormonal birth control implant approved for pregnancy prevention. The earliest a generic version of Nexplanon may be available in the U.S. is 2027.
Compare Nexplanon prices to related drugs |
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|---|---|---|---|
| Drug name | Price without insurance | SingleCare price | Savings options |
| Nexplanon (etonogestrel) | $1,533 per 1, 68 mg implant | $1,190 per 1, 68 mg implant of brand-name Nexplanon at Kroger | See latest prices |
| Mirena (levonorgestrel) | $1,589 per 1, 52 mg intrauterine device | $1,179 per 1, 52 mg intrauterine device of brand-name Mirena at Kroger | See latest prices |
| Skyla (levonorgestrel) | $1,314 per 1, 13.5 intrauterine device | $982 per 1, 13.5 intrauterine device of brand-name Skyla at Kroger | See latest prices |
| Heather (norethindrone) | $48 per 1 package of 28, 0.35 mg tablets | $7 per 1 package of 28, 0.35 mg tablets of generic norethindrone at Kroger | See latest prices |
| Depo-Provera injection (medroxyprogesterone acetate) | $134 per 1, 1ml of 150mg/mL syringe | $31 per 1, 1ml of 150mg/mL syringe of generic Depo-Provera at Walmart | See latest prices |
| Lo Loestrin Fe (norethindrone/ethinyl estradiol/ferrous fumarate) | $272 per 1 package of 28 1 mg/10 mcg/10 mcg tablets | $130 per 1 package of 28 1 mg/10 mcg/10 mcg tablets of brand-name Lo Loestrin Fe at Kroger | See latest prices |
| Annovera (segesterone acetate-ethinyl estradiol) | $3,270 per 1 ring of 0.15 mg/0.013 mg | $2,169 per 1 ring of 0.15 mg/0.013 mg of brand-name Annovera at Walgreens | See latest prices |
Prescription drug prices often change. These are the most accurate medication prices available at the time of publication in ZIP code 23666 as of December 20, 2025. The listed price, without insurance, refers to the price of brand-name drugs (unless otherwise specified). The listed SingleCare price references the price of generic drugs if available.
Is Nexplanon covered by insurance?
Most health insurance plans cover Nexplanon and other forms of birth control, as required by the Affordable Care Act (ACA). State Medicaid plans also cover birth control, including Nexplanon, but the exact coverage for contraception services can vary by state.
When it comes to original Medicare plans, like Medicare Part A and Medicare Part B, hormonal contraceptives aren’t covered. However, Medicare Part D plans may cover Nexplanon or other methods of birth control. Still, many people may have to pay out-of-pocket costs for visits to insert the implant.
Health insurance companies usually place Nexplanon in higher copay tiers. Factoring in other expenses, such as deductibles or coinsurance, the out-of-pocket cost for Nexplanon is often higher than that of other birth control methods.
How to get Nexplanon without insurance
While insurance can help reduce the cost of this birth control implant, many people find it difficult to pay for Nexplanon without it. However, there are still potential ways to manage the cost of Nexplanon without insurance coverage. Here are some strategies:
1. Use a SingleCare discount card
Since Nexplanon is typically supplied and given by a healthcare provider in a clinic, it’s not usually picked up at a regular pharmacy. In rare cases, a provider may send the prescription for a patient to pick up themselves. Individuals who are uninsured may be able to use a prescription discount card, such as SingleCare, to reduce the retail cost at participating pharmacies. However, discount cards can’t be used when Nexplanon is given directly by a clinic.
2. Consider an alternative medication
While Nexplanon does not have a generic equivalent, there are other long-acting reversible contraceptives (LARCs) that may offer similar benefits. IUDs, such as Mirena (levonorgestrel) and Skyla (levonorgestrel), are options that may be more affordable for some individuals. Progestin-only birth control pills, such as Heather (norethindrone), and low-dose combination pills, like Lo Loestrin Fe (ethinyl estradiol-norethindrone), are other potential low-cost types of birth control. Consult a healthcare professional for birth-control alternatives if costs are a concern.
3. Compare pharmacy prices
Different pharmacies may offer varying prices for the same medication. You can shop around and compare prices at local pharmacies to find the most affordable Nexplanon. Sometimes, you can find lower prices at other pharmacies you don’t usually go to.
4. Visit a community health clinic
Some community health centers, family planning clinics, or reproductive health clinics may offer Nexplanon or other birth control options at reduced prices or on a sliding scale based on income. This could make the implant much more accessible for those without insurance. You can search for community health centers in your state on the Health Resources and Services Administration website.
5. Check with nonprofit organizations
Nonprofits like Planned Parenthood may provide birth control implants at little to no cost for those who qualify. Eligibility is often based on income and location, with some services offered on a sliding-scale fee, meaning the price can vary according to what you can afford. These clinics may also cover the costs of implant insertion and removal, which can help lower overall expenses.
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- Nexplanon highlights of prescribing information, U.S. Food and Drug Administration (2023)
- Investor relations Form 10 FAQ, Organon (2021)
- Birth control benefits, U.S. Centers for Medicare & Medicaid Services (n.d.)
- Medicare and contraception coverage, JAMA Network Open (2025)
- Long-acting reversible contraception (LARC), American College of Obstetricians and Gynecologists (n.d.)