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Metatarsal Joint Implant

Kentucky rates for HCPCS L8641

Metatarsal joint implant

Rates data updated July 2026.

How much does Metatarsal Joint Implant cost?

$219

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $219 for this service. The price depends on where it is billed: about $219 from a physician practice, and about $275 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 6 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$219$204 to $251
FacilityA hospital or hospital-owned outpatient department$275$209 to $437

How much rates vary

Facilitymedian $275 · 10th to 90th $209 to $603Professionalmedian $219 · 10th to 90th $191 to $363
$1.0$10.0$100.0$1.0Kfacility $275professional $219

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$208.93
Median
$208.93
Typical High
$218.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$204.17
Typical High
$281.84
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$251.19
Typical High
$263.03
CareSource
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$588.84
Typical High
$776.25
CareSource
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$549.54
Typical High
$707.95
Cigna
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$602.56
Typical High
$602.56
Cigna
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$371.54
Typical High
$2,137.96
Molina
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
United
Setting
Facility
Modifier
Global
Typical Low
$158.49
Median
$281.84
Typical High
$323.59
United
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$218.78
Typical High
$323.59

Where Kentucky sits

The same service costs 2.7 times more in Massachusetts than in Nebraska. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Kentucky $219 · 42nd of 51
MA $490NE $182

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.