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Hallux Implant

Ohio rates for HCPCS L8642

Hallux implant

Rates data updated July 2026.

How much does Hallux Implant cost?

$214

Typical negotiated rate. In Ohio, July 2026.

Insurers have agreed to pay about $214 for this service. The price depends on where it is billed: about $214 from a physician practice, and about $269 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$214$186 to $282
FacilityA hospital or hospital-owned outpatient department$269$182 to $380

How much rates vary

Facilitymedian $269 · 10th to 90th $182 to $380Professionalmedian $214 · 10th to 90th $178 to $437
$1.0$10.0$100.0$1.0Kfacility $269professional $214

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
$181.97
Median
$181.97
Typical High
$380.19
Aetna
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$181.97
Typical High
$309.03
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$239.88
Typical High
$501.19
CareSource
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$309.03
Typical High
$436.52
CareSource
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$323.59
Typical High
$489.78
Cigna
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$302.00
Typical High
$331.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$257.04
Typical High
$302.00
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$302.00
Typical High
$316.23
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$257.04
Typical High
$263.03
Molina
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$323.59
Typical High
$467.74
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$426.58
Typical High
$794.33
United
Setting
Facility
Modifier
Global
Typical Low
$154.88
Median
$257.04
Typical High
$380.19
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$186.21
Typical High
$269.15

Where Ohio 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.

Ohio $214 · 25th 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.