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Straight Knee Joint, Heavy-Duty

Indiana 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?

$91.20

Typical negotiated rate. In Indiana, July 2026.

Insurers have agreed to pay about $91.20 for this service. The price depends on where it is billed: about $91.20 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 5 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$91.20$83.18 to $95.50
FacilityA hospital or hospital-owned outpatient department$182$91.20 to $182

How much rates vary

Facilitymedian $182 · 10th to 90th $87 to $191Professionalmedian $91 · 10th to 90th $71 to $132
$100$200$500facility $182professional $91

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
$87.10
Median
$87.10
Typical High
$87.10
Aetna
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$87.10
Typical High
$100.00
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$91.20
Median
$181.97
Typical High
$223.87
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$91.20
Typical High
$162.18
CareSource
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$194.98
Typical High
$223.87
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
$154.88
United
Setting
Facility
Modifier
Global
Typical Low
$57.54
Median
$100.00
Typical High
$181.97
United
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$85.11
Typical High
$125.89

Where Indiana 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.

Indiana· 35th of 51

$91.20

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.