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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 July 2026.

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

$102

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $102 for this service. The price depends on where it is billed: about $100 from a physician practice, and about $182 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$100$91.20 to $138
FacilityA hospital or hospital-owned outpatient department$182$91.20 to $316

How much rates vary

Facilitymedian $182 · 10th to 90th $91 to $912Professionalmedian $100 · 10th to 90th $79 to $182
$50$100$200$500$1K$2Kfacility $182professional $100

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
$91.20
Median
$91.20
Typical High
$181.97
Aetna
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$91.20
Typical High
$181.97
BCBS
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$346.74
Typical High
$1,230.27
BCBS
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$138.04
Typical High
$138.04
Cigna
Setting
Facility
Modifier
Global
Typical Low
$97.72
Median
$97.72
Typical High
$117.49
Cigna
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$70.79
Typical High
$177.83
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$177.83
Typical High
$223.87
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$229.09
Typical High
$229.09
Molina
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$93.33
Typical High
$134.90
United
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$144.54
Typical High
$181.97
United
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$89.13
Typical High
$154.88

Where Illinois 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.

Illinois· 18th of 51

$102

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.