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Hallux Implant

Massachusetts rates for HCPCS L8642

Hallux implant

Rates data updated July 2026.

How much does Hallux Implant cost?

$295

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $295 for this service. The price depends on where it is billed: about $295 from a physician practice, and about $427 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$295$170 to $295
FacilityA hospital or hospital-owned outpatient department$427$355 to $513

How much rates vary

Facilitymedian $427 · 10th to 90th $148 to $676Professionalmedian $295 · 10th to 90th $148 to $457
$1.0$10.0$100.0$1.0K$10.0Kfacility $427professional $295

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
$147.91
Median
$147.91
Typical High
$1,584.89
Aetna
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$165.96
Typical High
$524.81
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$331.13
Typical High
$1,995.26
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$269.15
Typical High
$416.87
BCBS
Setting
Facility
Modifier
Global
Typical Low
$380.19
Median
$446.68
Typical High
$588.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$239.88
Median
$302.00
Typical High
$302.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$257.04
Typical High
$457.09
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$3,630.78
Typical High
$9,772.37
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$295.12
Typical High
$446.68
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$331.13
Typical High
$1,995.26
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$269.15
Typical High
$416.87
United
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$257.04
Typical High
$346.74
United
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$288.40
Typical High
$309.03

Where Massachusetts 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.

Massachusetts $295 · 10th 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.