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Hallux Implant

Tennessee rates for HCPCS L8642

Hallux implant

Rates data updated October 2026.

How much does Hallux Implant cost?

$257

Typical negotiated rate. In Tennessee, October 2026.

Insurers have agreed to pay about $257 for this service. The price depends on where it is billed: about $257 from a physician practice, and about $302 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$257$170 to $275
FacilityA hospital or hospital-owned outpatient department$302$302 to $302

How much rates vary

Facilitymedian $302 · 10th to 90th $209 to $316Professionalmedian $257 · 10th to 90th $151 to $2,042
$200$500$1K$2Kfacility $302professional $257

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$154.88
Median
$154.88
Typical High
$154.88
Aetna
Setting
Professional
Modifier
None
Typical Low
$151.36
Median
$154.88
Typical High
$208.93
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$75.86
Median
$77.62
Typical High
$102.33
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$30.90
Median
$30.90
Typical High
$41.69
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$22.91
Median
$23.44
Typical High
$30.90
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$15.14
Median
$15.49
Typical High
$20.89
BCBS Tennessee
Setting
Professional
Modifier
None
Typical Low
$213.80
Median
$275.42
Typical High
$275.42
Cigna
Setting
Facility
Modifier
None
Typical Low
$302.00
Median
$302.00
Typical High
$316.23
Cigna
Setting
Professional
Modifier
None
Typical Low
$257.04
Median
$257.04
Typical High
$302.00
Lucent Health
Setting
Professional
Modifier
None
Typical Low
$2,041.74
Median
$2,818.38
Typical High
$2,818.38
United
Setting
Facility
Modifier
None
Typical Low
$208.93
Median
$208.93
Typical High
$208.93
United
Setting
Professional
Modifier
None
Typical Low
$120.23
Median
$173.78
Typical High
$257.04

Where Tennessee 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.

Tennessee· 32nd of 51

$257

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.