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Straight Knee Joint, Heavy-Duty

South Carolina 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?

$81.28

Typical negotiated rate. In South Carolina, July 2026.

Insurers have agreed to pay about $81.28 for this service. The price depends on where it is billed: about $79.43 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 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$79.43$74.13 to $112
FacilityA hospital or hospital-owned outpatient department$95.50$74.13 to $148

How much rates vary

Facilitymedian $95 · 10th to 90th $74 to $204Professionalmedian $79 · 10th to 90th $66 to $132
$50$100$200facility $95professional $79

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
$74.13
Median
$74.13
Typical High
$74.13
Aetna
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$79.43
Typical High
$131.83
BCBS
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$138.04
Typical High
$154.88
BCBS
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$134.90
Typical High
$190.55
Cigna
Setting
Facility
Modifier
Global
Typical Low
$67.61
Median
$97.72
Typical High
$107.15
Cigna
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$70.79
Typical High
$204.17
Medcost
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$91.20
Typical High
$97.72
Medcost
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$125.89
Typical High
$251.19
Medcost
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$47.86
Typical High
$48.98
Molina
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$102.33
Typical High
$102.33
United
Setting
Facility
Modifier
Global
Typical Low
$57.54
Median
$95.50
Typical High
$204.17
United
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$75.86
Typical High
$104.71

Where South Carolina 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.

South Carolina· 42nd of 51

$81.28

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.