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Straight Knee Joint, Heavy-Duty

New Mexico 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?

$95.50

Typical negotiated rate. In New Mexico, July 2026.

Insurers have agreed to pay about $95.50 for this service. The price depends on where it is billed: about $91.20 from a physician practice, and about $110 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$81.28 to $148
FacilityA hospital or hospital-owned outpatient department$110$75.86 to $155

How much rates vary

Facilitymedian $110 · 10th to 90th $49 to $195Professionalmedian $91 · 10th to 90th $74 to $331
$50$100$200$500facility $110professional $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
$95.50
Median
$95.50
Typical High
$95.50
Aetna
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$91.20
Typical High
$870.96
BCBS
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$154.88
Typical High
$177.83
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
$70.79
Typical High
$263.03
Molina
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$288.40
Typical High
$426.58
Providence
Setting
Facility
Modifier
Global
Typical Low
$48.98
Median
$138.04
Typical High
$186.21
Providence
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$70.79
Typical High
$158.49
United
Setting
Facility
Modifier
Global
Typical Low
$67.61
Median
$83.18
Typical High
$204.17
United
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$75.86
Typical High
$112.20

Where New Mexico 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.

New Mexico· 24th of 51

$95.50

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.