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Straight Knee Joint, Heavy-Duty

Georgia rates for HCPCS L2385

Addition to lower extremity, straight knee joint, heavy-duty, each joint

Rates data updated July 2026.

How much does Straight Knee Joint, Heavy-Duty cost?

$93.33

Typical negotiated rate. In Georgia, July 2026.

Insurers have agreed to pay about $93.33 for this service. The price depends on where it is billed: about $93.33 from a physician practice, and about $155 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 6 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$93.33$72.44 to $126
FacilityA hospital or hospital-owned outpatient department$155$72.44 to $214

How much rates vary

Facilitymedian $155 · 10th to 90th $72 to $562Professionalmedian $93 · 10th to 90th $71 to $148
$50$100$200$500facility $155professional $93

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
$72.44
Median
$72.44
Typical High
$186.21
Aetna
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$91.20
Typical High
$138.04
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$154.88
Median
$363.08
Typical High
$562.34
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$125.89
Typical High
$204.17
CareSource
Setting
Facility
Modifier
Global
Typical Low
$128.82
Median
$128.82
Typical High
$128.82
CareSource
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$128.82
Typical High
$128.82
Cigna
Setting
Facility
Modifier
Global
Typical Low
$97.72
Median
$97.72
Typical High
$234.42
Cigna
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$70.79
Typical High
$204.17
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$154.88
Typical High
$234.42
United
Setting
Facility
Modifier
Global
Typical Low
$51.29
Median
$74.13
Typical High
$154.88
United
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$75.86
Typical High
$147.91

Where Georgia sits

The same service costs 3.6 times more in Hawaii than in Washington, DC. 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.

Georgia· 29th of 51

$93.33

HI $224DC $61.66

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.