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Straight Knee Joint, Heavy-Duty

Tennessee 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?

$81.28

Typical negotiated rate. In Tennessee, October 2026.

Insurers have agreed to pay about $81.28 for this service. The price depends on where it is billed: about $75.86 from a physician practice, and about $97.72 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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$75.86$70.79 to $115
FacilityA hospital or hospital-owned outpatient department$97.72$97.72 to $97.72

How much rates vary

Facilitymedian $98 · 10th to 90th $95 to $100Professionalmedian $76 · 10th to 90th $66 to $1,023
$100$200$500$1Kfacility $98professional $76

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$67.61
Median
$67.61
Typical High
$67.61
Aetna
Setting
Professional
Modifier
None
Typical Low
$66.07
Median
$67.61
Typical High
$91.20
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$33.11
Median
$33.88
Typical High
$43.65
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$13.18
Median
$13.49
Typical High
$17.38
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$10.00
Median
$10.23
Typical High
$13.18
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$6.61
Median
$6.76
Typical High
$8.71
BCBS Tennessee
Setting
Professional
Modifier
None
Typical Low
$89.13
Median
$114.82
Typical High
$114.82
Cigna
Setting
Facility
Modifier
None
Typical Low
$97.72
Median
$97.72
Typical High
$102.33
Cigna
Setting
Professional
Modifier
None
Typical Low
$70.79
Median
$70.79
Typical High
$97.72
Lucent Health
Setting
Professional
Modifier
None
Typical Low
$1,023.29
Median
$1,148.15
Typical High
$1,148.15
United
Setting
Facility
Modifier
None
Typical Low
$95.50
Median
$95.50
Typical High
$100.00
United
Setting
Professional
Modifier
None
Typical Low
$50.12
Median
$72.44
Typical High
$97.72

Where Tennessee 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.

Tennessee· 46th of 51

$81.28

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.