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Metatarsal Joint Implant

Illinois rates for HCPCS L8641

Metatarsal joint implant

Rates data updated October 2026.

How much does Metatarsal Joint Implant cost?

$316

Typical negotiated rate. In Illinois, October 2026.

Insurers have agreed to pay about $316 for this service. The price depends on where it is billed: about $288 from a physician practice, and about $692 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$288$209 to $417
FacilityA hospital or hospital-owned outpatient department$692$372 to $1,905

How much rates vary

Facilitymedian $692 · 10th to 90th $372 to $3,467Professionalmedian $288 · 10th to 90th $200 to $603
$200$500$1K$2K$5Kfacility $692professional $288

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
$208.93
Median
$223.87
Typical High
$426.58
Aetna
Setting
Professional
Modifier
None
Typical Low
$208.93
Median
$208.93
Typical High
$346.74
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$104.71
Median
$104.71
Typical High
$169.82
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$41.69
Median
$41.69
Typical High
$69.18
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$30.90
Median
$30.90
Typical High
$51.29
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$20.89
Median
$20.89
Typical High
$34.67
BCBS Illinois
Setting
Facility
Modifier
None
Typical Low
$537.03
Median
$954.99
Typical High
$3,715.35
BCBS Illinois
Setting
Professional
Modifier
None
Typical Low
$288.40
Median
$323.59
Typical High
$323.59
Cigna
Setting
Facility
Modifier
None
Typical Low
$371.54
Median
$371.54
Typical High
$371.54
Cigna
Setting
Professional
Modifier
None
Typical Low
$316.23
Median
$316.23
Typical High
$371.54
Hally Health
Setting
Professional
Modifier
None
Typical Low
$346.74
Median
$501.19
Typical High
$1,202.26
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
$549.54
Median
$549.54
Typical High
$549.54
United
Setting
Facility
Modifier
None
Typical Low
$213.80
Median
$213.80
Typical High
$213.80
United
Setting
Professional
Modifier
None
Typical Low
$190.55
Median
$208.93
Typical High
$512.86

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· 30th of 51

$316

MT $589NY $174

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.