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Straight Knee Joint, Heavy-Duty

Michigan 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?

$100

Typical negotiated rate. In Michigan, July 2026.

Insurers have agreed to pay about $100 for this service. The price depends on where it is billed: about $100 from a physician practice, and about $204 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 7 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$87.10 to $178
FacilityA hospital or hospital-owned outpatient department$204$100 to $468

How much rates vary

Facilitymedian $204 · 10th to 90th $89 to $708Professionalmedian $100 · 10th to 90th $74 to $178
$0.1$1.0$10.0$100.0$1.0Kfacility $204professional $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
$100.00
Median
$100.00
Typical High
$100.00
Aetna
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$93.33
Typical High
$100.00
BCBS
Setting
Facility
Modifier
Global
Typical Low
$234.42
Median
$537.03
Typical High
$1,023.29
BCBS
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$177.83
Typical High
$186.21
CareSource
Setting
Facility
Modifier
Global
Typical Low
$97.72
Median
$97.72
Typical High
$97.72
Cigna
Setting
Facility
Modifier
Global
Typical Low
$97.72
Median
$97.72
Typical High
$97.72
Cigna
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$97.72
Typical High
$186.21
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$338.84
Typical High
$380.19
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$141.25
Typical High
$218.78
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$147.91
Typical High
$186.21
United
Setting
Facility
Modifier
Global
Typical Low
$51.29
Median
$144.54
Typical High
$204.17
United
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$83.18
Typical High
$125.89

Where Michigan 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.

Michigan $100 · 20th 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.