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Straight Knee Joint, Heavy-Duty

New York 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?

$93.33

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $93.33 for this service. The price depends on where it is billed: about $93.33 from a physician practice, and about $95.50 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$93.33$75.86 to $123
FacilityA hospital or hospital-owned outpatient department$95.50$66.07 to $158

How much rates vary

Facilitymedian $95 · 10th to 90th $32 to $234Professionalmedian $93 · 10th to 90th $63 to $224
$100$1K$10Kfacility $95professional $93

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
$51.29
Median
$72.44
Typical High
$173.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$81.28
Typical High
$107.15
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$154.88
Median
$154.88
Typical High
$309.03
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$93.33
Typical High
$263.03
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$117.49
Median
$125.89
Typical High
$125.89
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
Cigna
Setting
Facility
Modifier
Global
Typical Low
$97.72
Median
$97.72
Typical High
$234.42
Cigna
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$70.79
Typical High
$109.65
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$154.88
Median
$251.19
Typical High
$588.84
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$162.18
Typical High
$295.12
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.88
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$91.20
Typical High
$95.50
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$69.18
Median
$50,118.72
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$147.91
Typical High
$173.78
United
Setting
Facility
Modifier
Global
Typical Low
$61.66
Median
$89.13
Typical High
$269.15
United
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$100.00
Typical High
$257.04
Univera
Setting
Facility
Modifier
Global
Typical Low
$32.36
Median
$87.10
Typical High
$91.20
Univera
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$91.20
Typical High
$95.50

Where New York 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 York· 28th of 51

$93.33

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.