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Hallux Implant

Pennsylvania rates for HCPCS L8642

Hallux implant

Rates data updated July 2026.

How much does Hallux Implant cost?

$191

Typical negotiated rate. In Pennsylvania, 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 $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 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$170 to $257
FacilityA hospital or hospital-owned outpatient department$269$174 to $1,380

How much rates vary

Facilitymedian $269 · 10th to 90th $174 to $6,310Professionalmedian $191 · 10th to 90th $148 to $389
$1.0$10.0$100.0$1.0K$10.0Kfacility $269professional $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
$173.78
Median
$173.78
Typical High
$6,309.57
Aetna
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$186.21
Typical High
$316.23
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$8,511.38
Typical High
$77,624.71
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$389.05
Typical High
$389.05
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
Professional
Modifier
Global
Typical Low
$346.74
Median
$489.78
Typical High
$707.95
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$398.11
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$263.03
Typical High
$398.11
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$173.78
Typical High
$173.78
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$190.55
Typical High
$309.03
Oscar Health
Setting
Facility
Modifier
Global
Typical Low
$194.98
Median
$194.98
Typical High
$194.98
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$1,348.96
Typical High
$2,187.76
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$354.81
Typical High
$371.54
United
Setting
Facility
Modifier
Global
Typical Low
$128.82
Median
$208.93
Typical High
$263.03
United
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$213.80
Typical High
$380.19

Where Pennsylvania 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.

Pennsylvania $191 · 37th 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.