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Hallux Implant

New Jersey rates for HCPCS L8642

Hallux implant

Rates data updated July 2026.

How much does Hallux Implant cost?

$191

Typical negotiated rate. In New Jersey, 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 $135 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 5 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$158 to $245
FacilityA hospital or hospital-owned outpatient department$135$135 to $302

How much rates vary

Facilitymedian $135 · 10th to 90th $135 to $372Professionalmedian $191 · 10th to 90th $145 to $316
$100.0$200.0$500.0$1.0Kfacility $135professional $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
$134.90
Median
$134.90
Typical High
$134.90
Aetna
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$181.97
Typical High
$346.74
Cigna
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$302.00
Typical High
$371.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$257.04
Typical High
$302.00
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$346.74
Typical High
$489.78
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$245.47
Typical High
$245.47
United
Setting
Facility
Modifier
Global
Typical Low
$223.87
Median
$263.03
Typical High
$371.54
United
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$223.87
Typical High
$371.54

Where New Jersey 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.

New Jersey $191 · 41st 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.