Objective The purpose of this study is to calculate the full costs and direct costs of the 13 free family planning technical services, and provide reference for the settlement standard of free family planning technical service project during the period of "two children policy". Methods Questionnaire survey , ladder allocation method and time coefficient distribution method. Results Among the 13 free family planning technical service items, The highest cost was the tubal recanalization (Full cost: ￥ 1719.38, direct cost: ￥ 1381.36), followed by tubal ligation and the cost of the operation (Full cost: ￥ 974.76, direct cost: ￥ 786.75) ,The lowest is the love of the situation detection (Full cost: ￥ 37.62, direct cost: ￥ 30.37); Free family planning technical service items constitute the details ,laboratory tests took the most time and the number of participants in the operation was the largest; The current settlement standard of Sichuan Province to compensate the actual cost of less than one-third. Conclusion Maternal and child health institutions to improve efficiency, control too much inspection, strengthen cost management; The government should promptly adjust the relevant settlement standards to make up the actual costs.