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Metacarpophalangeal Joint Implant

Illinois rates for HCPCS L8630

Metacarpophalangeal joint implant

Rates data updated October 2026.

How much does Metacarpophalangeal Joint Implant cost?

$269

Typical negotiated rate. In Illinois, October 2026.

Insurers have agreed to pay about $269 for this service. The price depends on where it is billed: about $269 from a physician practice, and about $912 from a hospital or other facility.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$269$251 to $490
FacilityA hospital or hospital-owned outpatient department$912$288 to $2,455

How much rates vary

Facilitymedian $912 · 10th to 90th $251 to $4,467Professionalmedian $269 · 10th to 90th $200 to $631
$200$500$1K$2K$5Kfacility $912professional $269

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$269.15
Median
$269.15
Typical High
$549.54
Aetna
Setting
Professional
Modifier
None
Typical Low
$269.15
Median
$269.15
Typical High
$436.52
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$134.90
Median
$134.90
Typical High
$218.78
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$53.70
Median
$53.70
Typical High
$87.10
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$39.81
Median
$39.81
Typical High
$66.07
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$26.92
Median
$26.92
Typical High
$43.65
BCBS Illinois
Setting
Facility
Modifier
None
Typical Low
$691.83
Median
$1,202.26
Typical High
$4,786.30
Cigna
Setting
Facility
Modifier
None
Typical Low
$251.19
Median
$251.19
Typical High
$251.19
Cigna
Setting
Professional
Modifier
None
Typical Low
$199.53
Median
$199.53
Typical High
$251.19
Hally Health
Setting
Professional
Modifier
None
Typical Low
$407.38
Median
$562.34
Typical High
$758.58
Hally Health
Setting
Facility
Modifier
None
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
None
Typical Low
$707.95
Median
$707.95
Typical High
$707.95
United
Setting
Facility
Modifier
None
Typical Low
$204.17
Median
$204.17
Typical High
$204.17
United
Setting
Professional
Modifier
None
Typical Low
$186.21
Median
$269.15
Typical High
$630.96

Where Illinois sits

The same service costs 3.4 times more in Montana than in New York. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Illinois· 22nd of 51

$269

MT $562NY $166

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.