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Hallux Implant

Virginia rates for HCPCS L8642

Hallux implant

Rates data updated July 2026.

How much does Hallux Implant cost?

$240

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $240 for this service. The price depends on where it is billed: about $209 from a physician practice, and about $282 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 8 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$209$209 to $437
FacilityA hospital or hospital-owned outpatient department$282$209 to $372

How much rates vary

Facilitymedian $282 · 10th to 90th $204 to $501Professionalmedian $209 · 10th to 90th $166 to $562
$1.0$10.0$100.0$1.0Kfacility $282professional $209

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
$208.93
Median
$208.93
Typical High
$208.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$208.93
Typical High
$208.93
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$436.52
Typical High
$912.01
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$263.03
Typical High
$275.42
Cigna
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$302.00
Typical High
$302.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$257.04
Typical High
$257.04
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$398.11
Typical High
$562.34
Medcost
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$263.03
Typical High
$389.05
Medcost
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$263.03
Typical High
$457.09
Medcost
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$229.09
Typical High
$263.03
Sentara
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$323.59
Typical High
$575.44
Sentara
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$323.59
Typical High
$575.44
United
Setting
Facility
Modifier
Global
Typical Low
$131.83
Median
$257.04
Typical High
$263.03
United
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$194.98
Typical High
$309.03

Where Virginia 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.

Virginia $240 · 19th 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.