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Straight Knee Joint, Heavy-Duty

New Jersey rates for HCPCS L2385

Addition to lower extremity, straight knee joint, heavy-duty, each joint

Rates data updated October 2026.

How much does Straight Knee Joint, Heavy-Duty cost?

$75.86

Typical negotiated rate. In New Jersey, October 2026.

Insurers have agreed to pay about $75.86 for this service. The price depends on where it is billed: about $75.86 from a physician practice, and about $97.72 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$75.86$61.66 to $155
FacilityA hospital or hospital-owned outpatient department$97.72$95.50 to $100

How much rates vary

Facilitymedian $98 · 10th to 90th $89 to $155Professionalmedian $76 · 10th to 90th $51 to $155
$100$200facility $98professional $76

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$51.29
Median
$51.29
Typical High
$58.88
Aetna
Setting
Professional
Modifier
None
Typical Low
$51.29
Median
$51.29
Typical High
$66.07
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$25.70
Median
$25.70
Typical High
$33.11
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$10.23
Median
$10.23
Typical High
$13.18
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$7.76
Median
$7.76
Typical High
$9.77
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$5.13
Median
$5.13
Typical High
$6.61
Cigna
Setting
Facility
Modifier
None
Typical Low
$97.72
Median
$97.72
Typical High
$154.88
Cigna
Setting
Professional
Modifier
None
Typical Low
$70.79
Median
$70.79
Typical High
$97.72
Emblem Health
Setting
Professional
Modifier
None
Typical Low
$100.00
Median
$199.53
Typical High
$199.53
Horizon BCBS
Setting
Professional
Modifier
None
Typical Low
$154.88
Median
$154.88
Typical High
$154.88
United
Setting
Facility
Modifier
None
Typical Low
$95.50
Median
$100.00
Typical High
$173.78
United
Setting
Professional
Modifier
None
Typical Low
$63.10
Median
$81.28
Typical High
$147.91

Where New Jersey sits

The same service costs 3.2 times more in Hawaii than in Florida. 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.

New Jersey· 48th of 51

$75.86

HI $224FL $70.79

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.