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Hallux Implant

North Carolina rates for HCPCS L8642

Hallux implant

Rates data updated July 2026.

How much does Hallux Implant cost?

$269

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $269 for this service. The price depends on where it is billed: about $269 from a physician practice, and about $302 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$269$214 to $275
FacilityA hospital or hospital-owned outpatient department$302$257 to $372

How much rates vary

Facilitymedian $302 · 10th to 90th $162 to $676Professionalmedian $269 · 10th to 90th $166 to $295
$1.0$10.0$100.0$1.0K$10.0Kfacility $302professional $269

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
$269.15
Median
$269.15
Typical High
$269.15
Aetna
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$269.15
Typical High
$269.15
BCBS
Setting
Facility
Modifier
Global
Typical Low
$338.84
Median
$537.03
Typical High
$724.44
BCBS
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$275.42
Typical High
$295.12
Cigna
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$302.00
Typical High
$316.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$257.04
Typical High
$309.03
Medcost
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$173.78
Typical High
$263.03
Medcost
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$302.00
Typical High
$501.19
United
Setting
Facility
Modifier
Global
Typical Low
$208.93
Median
$263.03
Typical High
$371.54
United
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$177.83
Typical High
$263.03
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$1,659.59
Median
$1,659.59
Typical High
$1,659.59
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$2,041.74
Median
$2,041.74
Typical High
$2,754.23

Where North Carolina 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.

North Carolina $269 · 12th 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.