Last updated: March 2026
How Much Does Mirena IUD (Levonorgestrel 52mg) Cost?
Cost Breakdown by Type
| Type / Procedure | Without Insurance | With Insurance |
|---|---|---|
| Mirena Device + Insertion | $800 – $1,300 | $0 – $100 |
| Device Only (without insertion) | $700 – $1,000 | $0 – $50 |
What Affects the Cost
- Brand-name vs. generic availability
- Insurance formulary tier placement
- Pharmacy choice (retail vs. mail-order vs. Costco)
- Manufacturer savings cards and coupons
- Dosage and quantity prescribed
- Geographic location
Insurance Coverage
Typical coverage: ACA requires $0 cost-sharing for contraceptives; fully covered by most plans
Most insurance plans use a tiered formulary: Tier 1 (generic) $0-$15 copay, Tier 2 (preferred brand) $25-$75, Tier 3 (non-preferred brand) $50-$150, Tier 4 (specialty) $100-$500+. Prior authorization may be required for certain medications. Step therapy may require trying cheaper alternatives first.
How to Save Money
- Always ask for generic when available — saves 50-90%
- Use GoodRx, RxSaver, or similar discount cards
- Costco pharmacy is open to non-members and often has lowest prices
- Mark Cuban's Cost Plus Drugs offers transparent low pricing
- Manufacturer patient assistance programs provide free medication to qualifying patients
- HSA/FSA funds can cover medication costs tax-free
Related Procedures & Costs
Frequently Asked Questions
Under the ACA, most insurance plans must cover FDA-approved contraceptives including Mirena IUD at $0 cost. Check if your specific plan has any restrictions.
Mirena costs $800 to $1,300 including insertion. Some clinics and Planned Parenthood offer sliding scale pricing.
Mirena is FDA-approved for up to 8 years of pregnancy prevention. It also treats heavy menstrual bleeding.