go back

Hallux Implant

South Carolina rates for HCPCS L8642

Hallux implant

Rates data updated July 2026.

How much does Hallux Implant cost?

$191

Typical negotiated rate. In South Carolina, 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 $240 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$162 to $269
FacilityA hospital or hospital-owned outpatient department$240$162 to $331

How much rates vary

Facilitymedian $240 · 10th to 90th $162 to $447Professionalmedian $191 · 10th to 90th $155 to $269
$100.0$200.0$500.0$1.0Kfacility $240professional $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
$162.18
Median
$162.18
Typical High
$162.18
Aetna
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$186.21
Typical High
$269.15
BCBS
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$331.13
Typical High
$371.54
BCBS
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$380.19
Typical High
$512.86
Cigna
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$302.00
Typical High
$331.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$257.04
Typical High
$436.52
Medcost
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$173.78
Typical High
$234.42
Medcost
Setting
Facility
Modifier
Global
Typical Low
$162.18
Median
$281.84
Typical High
$562.34
Medcost
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$109.65
Typical High
$112.20
United
Setting
Facility
Modifier
Global
Typical Low
$223.87
Median
$257.04
Typical High
$371.54
United
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$177.83
Typical High
$257.04

Where South Carolina 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.

South Carolina $191 · 39th 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.