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Straight Knee Joint, Heavy-Duty

Illinois rates for HCPCS L2385

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

Rates data updated October 2026.

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

$123

Typical negotiated rate. In Illinois, October 2026.

Insurers have agreed to pay about $123 for this service. The price depends on where it is billed: about $123 from a physician practice, and about $245 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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$123$91.20 to $138
FacilityA hospital or hospital-owned outpatient department$245$200 to $417

How much rates vary

Facilitymedian $245 · 10th to 90th $98 to $1,023Professionalmedian $123 · 10th to 90th $71 to $178
$100$200$500$1K$2Kfacility $245professional $123

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
$91.20
Median
$91.20
Typical High
$181.97
Aetna
Setting
Professional
Modifier
None
Typical Low
$91.20
Median
$91.20
Typical High
$128.82
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$45.71
Median
$45.71
Typical High
$64.57
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$18.20
Median
$18.20
Typical High
$25.70
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$13.49
Median
$13.80
Typical High
$19.50
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$9.12
Median
$9.12
Typical High
$12.88
BCBS Illinois
Setting
Facility
Modifier
None
Typical Low
$218.78
Median
$295.12
Typical High
$1,230.27
BCBS Illinois
Setting
Professional
Modifier
None
Typical Low
$123.03
Median
$138.04
Typical High
$138.04
Cigna
Setting
Facility
Modifier
None
Typical Low
$97.72
Median
$97.72
Typical High
$97.72
Cigna
Setting
Professional
Modifier
None
Typical Low
$70.79
Median
$70.79
Typical High
$97.72
Hally Health
Setting
Professional
Modifier
None
Typical Low
$128.82
Median
$177.83
Typical High
$223.87
Hally Health
Setting
Facility
Modifier
None
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
None
Typical Low
$229.09
Median
$229.09
Typical High
$229.09
Molina
Setting
Professional
Modifier
None
Typical Low
$134.90
Median
$134.90
Typical High
$147.91
United
Setting
Facility
Modifier
None
Typical Low
$95.50
Median
$181.97
Typical High
$245.47
United
Setting
Professional
Modifier
None
Typical Low
$67.61
Median
$89.13
Typical High
$208.93

Where Illinois sits

The same service costs 3.2 times more in Hawaii than in Florida. 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.

Illinois· 16th of 51

$123

HI $224FL $70.79

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.