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Straight Knee Joint, Heavy-Duty

Nebraska 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 Nebraska, 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 $155 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$91.20$89.13 to $91.20
FacilityA hospital or hospital-owned outpatient department$155$97.72 to $174

How much rates vary

Facilitymedian $155 · 10th to 90th $76 to $813Professionalmedian $91 · 10th to 90th $59 to $126
$50$100$200$500facility $155professional $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
$97.72
Median
$97.72
Typical High
$97.72
Aetna
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$91.20
Typical High
$97.72
BCBS
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$147.91
Typical High
$151.36
Cigna
Setting
Facility
Modifier
Global
Typical Low
$97.72
Median
$97.72
Typical High
$173.78
Cigna
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$204.17
Typical High
$323.59
Medica
Setting
Facility
Modifier
Global
Typical Low
$97.72
Median
$169.82
Typical High
$812.83
Medica
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$75.86
Typical High
$162.18
Midlands
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$169.82
Typical High
$416.87
Midlands
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$173.78
Typical High
$173.78
Midlands
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$380.19
Typical High
$416.87
United
Setting
Facility
Modifier
Global
Typical Low
$67.61
Median
$154.88
Typical High
$173.78
United
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$75.86
Typical High
$120.23

Where Nebraska 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.

Nebraska· 36th 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.