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Hallux Implant

Rhode Island rates for HCPCS L8642

Hallux implant

Rates data updated October 2026.

How much does Hallux Implant cost?

$204

Typical negotiated rate. In Rhode Island, October 2026.

Insurers have agreed to pay about $204 for this service. Most negotiated rates run $195 to $257.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $302 · 10th to 90th $302 to $302Professionalmedian $204 · 10th to 90th $158 to $282
$200facility $302professional $204

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$204.17
Median
$204.17
Typical High
$204.17
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$40.74
Median
$40.74
Typical High
$40.74
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$30.20
Median
$30.20
Typical High
$30.20
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$20.42
Median
$20.42
Typical High
$20.42
BCBS Rhode Island
Setting
Professional
Modifier
None
Typical Low
$302.00
Median
$302.00
Typical High
$316.23
Cigna
Setting
Facility
Modifier
None
Typical Low
$302.00
Median
$302.00
Typical High
$302.00
Cigna
Setting
Professional
Modifier
None
Typical Low
$257.04
Median
$257.04
Typical High
$302.00
United
Setting
Professional
Modifier
None
Typical Low
$131.83
Median
$218.78
Typical High
$281.84

Where Rhode Island sits

The same service costs 3.0 times more in Iowa than in New York. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Rhode Island· 46th of 51

$204

IA $457NY $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.