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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 October 2026.

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

$115

Typical negotiated rate. In Rhode Island, October 2026.

Insurers have agreed to pay about $115 for this service. The price depends on where it is billed: about $115 from a physician practice, and about $355 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 4 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$115$93.33 to $126
FacilityA hospital or hospital-owned outpatient department$355$282 to $407

How much rates vary

Facilitymedian $355 · 10th to 90th $204 to $447Professionalmedian $115 · 10th to 90th $71 to $158
$100$200$500facility $355professional $115

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
Professional
Modifier
None
Typical Low
$93.33
Median
$114.82
Typical High
$114.82
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$46.77
Median
$57.54
Typical High
$57.54
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$18.62
Median
$22.91
Typical High
$22.91
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$14.13
Median
$16.98
Typical High
$16.98
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$9.33
Median
$11.48
Typical High
$11.48
BCBS Rhode Island
Setting
Facility
Modifier
None
Typical Low
$281.84
Median
$380.19
Typical High
$446.68
BCBS Rhode Island
Setting
Professional
Modifier
None
Typical Low
$87.10
Median
$125.89
Typical High
$177.83
Cigna
Setting
Facility
Modifier
None
Typical Low
$97.72
Median
$97.72
Typical High
$97.72
Cigna
Setting
Professional
Modifier
None
Typical Low
$70.79
Median
$70.79
Typical High
$97.72
United
Setting
Facility
Modifier
None
Typical Low
$204.17
Median
$204.17
Typical High
$204.17
United
Setting
Professional
Modifier
None
Typical Low
$67.61
Median
$102.33
Typical High
$158.49

Where Rhode Island 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.

Rhode Island· 19th of 51

$115

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.