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Offset Knee Joint, Heavy-Duty

North Carolina rates for HCPCS L2395

Addition to lower extremity, offset knee joint, heavy-duty, each joint

Rates data updated July 2026.

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

$145

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $145 for this service. The price depends on where it is billed: about $145 from a physician practice, and about $166 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$145$95.50 to $166
FacilityA hospital or hospital-owned outpatient department$166$110 to $209

How much rates vary

Facilitymedian $166 · 10th to 90th $79 to $355Professionalmedian $145 · 10th to 90th $81 to $166
$100$200$500$1Kfacility $166professional $145

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
$165.96
Median
$165.96
Typical High
$165.96
Aetna
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$165.96
Typical High
$165.96
BCBS
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$281.84
Typical High
$371.54
BCBS
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$144.54
Typical High
$158.49
Cigna
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$109.65
Typical High
$117.49
Cigna
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$81.28
Typical High
$123.03
Medcost
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$117.49
Typical High
$117.49
Medcost
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$165.96
Typical High
$269.15
United
Setting
Facility
Modifier
Global
Typical Low
$67.61
Median
$134.90
Typical High
$190.55
United
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$93.33
Typical High
$134.90
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$933.25
Median
$933.25
Typical High
$933.25
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$1,174.90
Median
$1,174.90
Typical High
$1,318.26

Where North Carolina sits

The same service costs 3.5 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.

North Carolina· 11th of 51

$145

HI $251DC $72.44

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.