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Metatarsal Joint Implant

South Dakota rates for HCPCS L8641

Metatarsal joint implant

Rates data updated July 2026.

How much does Metatarsal Joint Implant cost?

$468

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $468 for this service. The price depends on where it is billed: about $468 from a physician practice, and about $457 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 7 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$468$355 to $550
FacilityA hospital or hospital-owned outpatient department$457$355 to $692

How much rates vary

Facilitymedian $457 · 10th to 90th $316 to $1,096Professionalmedian $468 · 10th to 90th $224 to $603
$200.0$500.0$1.0K$2.0Kfacility $457professional $468

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$407.38
Median
$407.38
Typical High
$407.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$354.81
Typical High
$549.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$371.54
Typical High
$467.74
Cigna
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$489.78
Typical High
$602.56
Medica
Setting
Facility
Modifier
Global
Typical Low
$338.84
Median
$549.54
Typical High
$1,513.56
Medica
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$346.74
Typical High
$2,818.38
Midlands
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$457.09
Typical High
$457.09
Midlands
Setting
Facility
Modifier
Global
Typical Low
$467.74
Median
$467.74
Typical High
$467.74
Midlands
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$380.19
Typical High
$1,000.00
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$562.34
Typical High
$741.31
United
Setting
Facility
Modifier
Global
Typical Low
$281.84
Median
$316.23
Typical High
$346.74
United
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$346.74
Typical High
$489.78
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$416.87
Typical High
$416.87

Where South Dakota 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.

South Dakota $468 · 2nd 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.