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Hallux Implant

Illinois rates for HCPCS L8642

Hallux implant

Rates data updated October 2026.

How much does Hallux Implant cost?

$263

Typical negotiated rate. In Illinois, October 2026.

Insurers have agreed to pay about $263 for this service. The price depends on where it is billed: about $263 from a physician practice, and about $631 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$263$186 to $309
FacilityA hospital or hospital-owned outpatient department$631$302 to $1,698

How much rates vary

Facilitymedian $631 · 10th to 90th $302 to $3,090Professionalmedian $263 · 10th to 90th $186 to $525
$200$500$1K$2K$5Kfacility $631professional $263

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
$186.21
Median
$186.21
Typical High
$380.19
Aetna
Setting
Professional
Modifier
None
Typical Low
$186.21
Median
$186.21
Typical High
$309.03
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$93.33
Median
$93.33
Typical High
$154.88
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$37.15
Median
$37.15
Typical High
$61.66
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$28.18
Median
$28.18
Typical High
$45.71
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$18.62
Median
$18.62
Typical High
$30.90
BCBS Illinois
Setting
Facility
Modifier
None
Typical Low
$478.63
Median
$851.14
Typical High
$3,311.31
BCBS Illinois
Setting
Professional
Modifier
None
Typical Low
$263.03
Median
$288.40
Typical High
$288.40
Cigna
Setting
Facility
Modifier
None
Typical Low
$302.00
Median
$302.00
Typical High
$302.00
Cigna
Setting
Professional
Modifier
None
Typical Low
$257.04
Median
$257.04
Typical High
$302.00
Hally Health
Setting
Professional
Modifier
None
Typical Low
$316.23
Median
$457.09
Typical High
$891.25
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
$489.78
Median
$489.78
Typical High
$489.78
United
Setting
Facility
Modifier
None
Typical Low
$208.93
Median
$208.93
Typical High
$208.93
United
Setting
Professional
Modifier
None
Typical Low
$169.82
Median
$199.53
Typical High
$436.52

Where Illinois sits

The same service costs 3.0 times more in Iowa 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· 20th of 51

$263

IA $457NY $151

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.