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Straight Knee Joint, Heavy-Duty

Kentucky 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?

$89.13

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $89.13 for this service. The price depends on where it is billed: about $89.13 from a physician practice, and about $83.18 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$89.13$79.43 to $93.33
FacilityA hospital or hospital-owned outpatient department$83.18$77.62 to $162

How much rates vary

Facilitymedian $83 · 10th to 90th $68 to $234Professionalmedian $89 · 10th to 90th $71 to $95
$0.1$1.0$10.0$100.0$1.0Kfacility $83professional $89

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
$77.62
Median
$77.62
Typical High
$81.28
Aetna
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$83.18
Typical High
$95.50
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$154.88
Typical High
$162.18
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$89.13
Typical High
$93.33
CareSource
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$204.17
Typical High
$263.03
CareSource
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$190.55
Typical High
$239.88
Cigna
Setting
Facility
Modifier
Global
Typical Low
$97.72
Median
$234.42
Typical High
$234.42
Cigna
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$120.23
Typical High
$851.14
Molina
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$100.00
Typical High
$128.82
United
Setting
Facility
Modifier
Global
Typical Low
$51.29
Median
$74.13
Typical High
$100.00
United
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$75.86
Typical High
$114.82

Where Kentucky sits

The same service costs 3.6 times more in Hawaii than in Washington, DC. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Kentucky $89.13 · 41st of 51
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.