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Straight Knee Joint, Heavy-Duty

Massachusetts 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?

$155

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $155 for this service. The price depends on where it is billed: about $155 from a physician practice, and about $115 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 9 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$155$83.18 to $170
FacilityA hospital or hospital-owned outpatient department$115$83.18 to $339

How much rates vary

Facilitymedian $115 · 10th to 90th $83 to $977Professionalmedian $155 · 10th to 90th $79 to $251
$50$100$200$500$1K$2K$5Kfacility $115professional $155

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
$83.18
Median
$83.18
Typical High
$83.18
Aetna
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$83.18
Typical High
$263.03
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$194.98
Typical High
$977.24
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$147.91
Typical High
$234.42
BCBS
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$112.20
Typical High
$338.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$97.72
Median
$112.20
Typical High
$134.90
Cigna
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$70.79
Typical High
$120.23
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$3,630.78
Typical High
$9,772.37
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$169.82
Typical High
$251.19
Health New England
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$95.50
Typical High
$95.50
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$194.98
Typical High
$977.24
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$147.91
Typical High
$234.42
United
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$95.50
Typical High
$204.17
United
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$147.91
Typical High
$169.82

Where Massachusetts 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.

Massachusetts· 5th of 51

$155

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.