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Straight Knee Joint, Heavy-Duty

South Dakota 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?

$141

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $141 for this service. The price depends on where it is billed: about $138 from a physician practice, and about $162 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 7 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$138$123 to $204
FacilityA hospital or hospital-owned outpatient department$162$148 to $204

How much rates vary

Facilitymedian $162 · 10th to 90th $105 to $275Professionalmedian $138 · 10th to 90th $95 to $257
$50.0$100.0$200.0$500.0$1.0Kfacility $162professional $138

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
Facility
Modifier
Global
Typical Low
$147.91
Median
$147.91
Typical High
$147.91
Aetna
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$123.03
Typical High
$138.04
Cigna
Setting
Facility
Modifier
Global
Typical Low
$97.72
Median
$97.72
Typical High
$173.78
Cigna
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$204.17
Typical High
$257.04
Medica
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$190.55
Typical High
$380.19
Medica
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$120.23
Typical High
$1,000.00
Midlands
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$169.82
Typical High
$169.82
Midlands
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$173.78
Typical High
$173.78
Midlands
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$141.25
Typical High
$363.08
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$199.53
Typical High
$269.15
United
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$87.10
Typical High
$125.89
United
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$125.89
Typical High
$208.93
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$154.88
Typical High
$154.88

Where South Dakota sits

The same service costs 3.6 times more in Hawaii than in Washington, DC. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

South Dakota $141 · 7th of 51
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.