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Offset Knee Joint, Heavy-Duty

South 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?

$97.72

Typical negotiated rate. In South Carolina, July 2026.

Insurers have agreed to pay about $97.72 for this service. The price depends on where it is billed: about $93.33 from a physician practice, and about $112 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$93.33$89.13 to $135
FacilityA hospital or hospital-owned outpatient department$112$93.33 to $174

How much rates vary

Facilitymedian $112 · 10th to 90th $91 to $251Professionalmedian $93 · 10th to 90th $76 to $166
$100$200facility $112professional $93

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
$93.33
Median
$93.33
Typical High
$93.33
Aetna
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$93.33
Typical High
$165.96
BCBS
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$173.78
Typical High
$190.55
BCBS
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$162.18
Typical High
$234.42
Cigna
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$109.65
Typical High
$120.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$81.28
Typical High
$204.17
Medcost
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$107.15
Typical High
$117.49
Medcost
Setting
Facility
Modifier
Global
Typical Low
$91.20
Median
$151.36
Typical High
$302.00
Medcost
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$56.23
Typical High
$56.23
Molina
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
United
Setting
Facility
Modifier
Global
Typical Low
$67.61
Median
$107.15
Typical High
$239.88
United
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$93.33
Typical High
$131.83

Where South 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.

South Carolina· 42nd of 51

$97.72

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.