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Hallux Implant

Kentucky rates for HCPCS L8642

Hallux implant

Rates data updated July 2026.

How much does Hallux Implant cost?

$191

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $191 for this service. The price depends on where it is billed: about $191 from a physician practice, and about $224 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$191$178 to $204
FacilityA hospital or hospital-owned outpatient department$224$170 to $363

How much rates vary

Facilitymedian $224 · 10th to 90th $170 to $501Professionalmedian $191 · 10th to 90th $155 to $302
$1.0$10.0$100.0$1.0Kfacility $224professional $191

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
$169.82
Median
$169.82
Typical High
$177.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$181.97
Typical High
$302.00
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$204.17
Typical High
$218.78
CareSource
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$489.78
Typical High
$630.96
CareSource
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$446.68
Typical High
$575.44
Cigna
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$501.19
Typical High
$501.19
Cigna
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$302.00
Typical High
$1,698.24
Molina
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
United
Setting
Facility
Modifier
Global
Typical Low
$128.82
Median
$229.09
Typical High
$263.03
United
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$186.21
Typical High
$263.03

Where Kentucky sits

The same service costs 3.3 times more in Kansas than in Nebraska. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Kentucky $191 · 36th of 51
KS $501NE $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.