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Metatarsal Joint Implant

Virginia rates for HCPCS L8641

Metatarsal joint implant

Rates data updated July 2026.

How much does Metatarsal Joint Implant cost?

$251

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $251 for this service. The price depends on where it is billed: about $245 from a physician practice, and about $316 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 8 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$245$224 to $537
FacilityA hospital or hospital-owned outpatient department$316$224 to $407

How much rates vary

Facilitymedian $316 · 10th to 90th $224 to $550Professionalmedian $245 · 10th to 90th $186 to $692
$1.0$10.0$100.0$1.0Kfacility $316professional $245

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
$223.87
Median
$223.87
Typical High
$223.87
Aetna
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$223.87
Typical High
$251.19
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$537.03
Typical High
$1,122.02
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$275.42
Typical High
$295.12
Cigna
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$371.54
Typical High
$371.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$316.23
Typical High
$316.23
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$426.58
Typical High
$602.56
Medcost
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$281.84
Typical High
$416.87
Medcost
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$316.23
Typical High
$537.03
Medcost
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$257.04
Typical High
$281.84
Sentara
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$346.74
Typical High
$616.60
Sentara
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$346.74
Typical High
$616.60
United
Setting
Facility
Modifier
Global
Typical Low
$162.18
Median
$316.23
Typical High
$323.59
United
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$208.93
Typical High
$331.13

Where Virginia 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.

Virginia $251 · 31st 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.