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Hallux Implant

South Dakota rates for HCPCS L8642

Hallux implant

Rates data updated July 2026.

How much does Hallux Implant cost?

$355

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $355 for this service. The price depends on where it is billed: about $355 from a physician practice, and about $372 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 7 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$355$316 to $437
FacilityA hospital or hospital-owned outpatient department$372$302 to $513

How much rates vary

Facilitymedian $372 · 10th to 90th $269 to $724Professionalmedian $355 · 10th to 90th $263 to $550
$200.0$500.0$1.0K$2.0Kfacility $372professional $355

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$269.15
Typical High
$269.15
Aetna
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$316.23
Typical High
$354.81
Cigna
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$302.00
Typical High
$512.86
Cigna
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$436.52
Typical High
$549.54
Medica
Setting
Facility
Modifier
Global
Typical Low
$309.03
Median
$426.58
Typical High
$977.24
Medica
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$263.03
Typical High
$1,995.26
Midlands
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$501.19
Typical High
$501.19
Midlands
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$512.86
Typical High
$512.86
Midlands
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$416.87
Typical High
$660.69
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$363.08
Typical High
$489.78
United
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$257.04
Typical High
$281.84
United
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$263.03
Typical High
$436.52
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$457.09
Typical High
$457.09

Where South Dakota 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 Dakota $355 · 4th 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.