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Metatarsal Joint Implant

New York rates for HCPCS L8641

Metatarsal joint implant

Rates data updated July 2026.

How much does Metatarsal Joint Implant cost?

$229

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $229 for this service. The price depends on where it is billed: about $219 from a physician practice, and about $263 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 9 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$178 to $347
FacilityA hospital or hospital-owned outpatient department$263$204 to $479

How much rates vary

Facilitymedian $263 · 10th to 90th $182 to $955Professionalmedian $219 · 10th to 90th $145 to $589
$1.0$10.0$100.0$1.0K$10.0Kfacility $263professional $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
$154.88
Median
$204.17
Typical High
$478.63
Aetna
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$204.17
Typical High
$363.08
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$173.78
Typical High
$676.08
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$346.74
Typical High
$346.74
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$346.74
Typical High
$346.74
Cigna
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$371.54
Typical High
$602.56
Cigna
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$316.23
Typical High
$371.54
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$426.58
Median
$707.95
Typical High
$1,659.59
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$446.68
Typical High
$812.83
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$269.15
Typical High
$302.00
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$50,118.72
Median
$53,703.18
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$407.38
Typical High
$478.63
United
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$316.23
Typical High
$1,230.27
United
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$281.84
Typical High
$691.83
Univera
Setting
Facility
Modifier
Global
Typical Low
$239.88
Median
$251.19
Typical High
$263.03
Univera
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$251.19
Typical High
$269.15

Where New York 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.

New York $229 · 38th 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.