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Hallux Implant

New York rates for HCPCS L8642

Hallux implant

Rates data updated July 2026.

How much does Hallux Implant cost?

$191

Typical negotiated rate. In New York, 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 $234 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 9 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$151 to $282
FacilityA hospital or hospital-owned outpatient department$234$191 to $417

How much rates vary

Facilitymedian $234 · 10th to 90th $141 to $617Professionalmedian $191 · 10th to 90th $126 to $525
$1.0$10.0$100.0$1.0K$10.0Kfacility $234professional $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
$190.55
Typical High
$416.87
Aetna
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$181.97
Typical High
$239.88
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$151.36
Typical High
$588.84
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$288.40
Median
$309.03
Typical High
$309.03
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$309.03
Typical High
$309.03
Cigna
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$302.00
Typical High
$501.19
Cigna
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$257.04
Typical High
$302.00
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$616.60
Typical High
$1,445.44
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$398.11
Typical High
$707.95
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$234.42
Typical High
$263.03
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$50,118.72
Median
$53,703.18
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$363.08
Typical High
$426.58
United
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$257.04
Typical High
$1,071.52
United
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$245.47
Typical High
$616.60
Univera
Setting
Facility
Modifier
Global
Typical Low
$208.93
Median
$223.87
Typical High
$229.09
Univera
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$223.87
Typical High
$234.42

Where New York 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 York $191 · 42nd 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.