PurposeUnderstanding health experts' online free knowledge contribution behavior is vital for promoting health knowledge and improving health literacy. This study focuses on the spillover effects of different monetary incentive levels on health experts' free knowledge contribution behavior.Design/methodology/approachIn 2016, Zhihu Live and Zhi Hu were launched as two types of paid knowledge products on Zhihu.com, a hybrid knowledge exchange platform. Focusing on the policy impact of launching Zhihu Live and Zhi Hu, this study uses the difference-in-differences model to analyze the heterogeneous spillover effects of high-yield and low-yield monetary incentives on health experts' free knowledge contribution behavior.FindingsIn the short term, the high-yield monetary incentive has positive spillover effects on the quantity and quality of free knowledge contribution while the low-yield monetary incentive generates opposite effects. In the long term, the effects of the high-yield monetary incentive remain significantly positive. The effect of the low-yield monetary incentive on the quantity of free knowledge contribution remains significantly negative, but its effect on the quality of free knowledge contribution is not significant.Originality/valueThis study combines theories of reciprocity and resource limitation to study the spillover effects of different monetary incentive levels on health experts' online behavior. The short-term and long-term effects of different monetary incentive levels on health experts' online behavior are also explored.