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Straight Knee Joint, Heavy-Duty

Rhode Island 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 Rhode Island, 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 $324 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 4 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 $115
FacilityA hospital or hospital-owned outpatient department$324$112 to $398

How much rates vary

Facilitymedian $324 · 10th to 90th $98 to $447Professionalmedian $100 · 10th to 90th $83 to $126
$100$200$500$1Kfacility $324professional $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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$93.33
Typical High
$114.82
BCBS
Setting
Facility
Modifier
Global
Typical Low
$281.84
Median
$380.19
Typical High
$446.68
BCBS
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$125.89
Typical High
$181.97
Cigna
Setting
Facility
Modifier
Global
Typical Low
$97.72
Median
$112.20
Typical High
$112.20
Cigna
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$70.79
Typical High
$70.79
United
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$93.33
Typical High
$204.17
United
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$102.33
Typical High
$158.49

Where Rhode Island 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.

Rhode Island· 19th of 51

$100

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.