go back

Straight Knee Joint, Heavy-Duty

Virginia 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?

$91.20

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $91.20 for this service. The price depends on where it is billed: about $91.20 from a physician practice, and about $155 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 8 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$91.20$74.13 to $102
FacilityA hospital or hospital-owned outpatient department$155$100 to $155

How much rates vary

Facilitymedian $155 · 10th to 90th $74 to $195Professionalmedian $91 · 10th to 90th $62 to $151
$100$200$500$1K$2K$5K$10Kfacility $155professional $91

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
$61.66
Median
$74.13
Typical High
$74.13
Aetna
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$74.13
Typical High
$95.50
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$154.88
Median
$154.88
Typical High
$162.18
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$91.20
Typical High
$190.55
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$81.28
Typical High
$104.71
Cigna
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$97.72
Typical High
$97.72
Cigna
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$70.79
Typical High
$93.33
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$154.88
Typical High
$213.80
Medcost
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$100.00
Typical High
$151.36
Medcost
Setting
Facility
Modifier
Global
Typical Low
$61.66
Median
$102.33
Typical High
$194.98
Medcost
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$89.13
Typical High
$190.55
Sentara
Setting
Facility
Modifier
Global
Typical Low
$87.10
Median
$125.89
Typical High
$446.68
Sentara
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$125.89
Typical High
$446.68
United
Setting
Facility
Modifier
Global
Typical Low
$51.29
Median
$79.43
Typical High
$204.17
United
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$75.86
Typical High
$120.23

Where Virginia 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.

Virginia· 32nd of 51

$91.20

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.