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Computer-Guided Navigation Add-On (Fluoroscopy-Based)

California rates for HCPCS 0054T

This add-on service is performed alongside a bone or joint surgery, using a computer navigation system guided by live X-ray (fluoroscopic) images to track instrument position during the operation. It is billed in addition to the main procedure, such as a joint replacement or spine surgery, rather than standing alone. The system uses real-time X-ray images rather than a pre-operative CT or MRI scan.

Rates data updated July 2026.

How much does Computer-Guided Navigation Add-On (Fluoroscopy-Based) cost?

$2,692

Typical negotiated rate. In California, July 2026.

Insurers have agreed to pay about $2,692 for this service. The price depends on where it is billed: about $251 from a physician practice, and about $4,365 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 9 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$251$148 to $468
FacilityA hospital or hospital-owned outpatient department$4,365$2,884 to $6,457

How much rates vary

Facilitymedian $4,365 · 10th to 90th $1,514 to $13,490Professionalmedian $251 · 10th to 90th $100 to $741
$100$500$2K$10Kfacility $4,365professional $251

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
$1,737.80
Median
$6,025.60
Typical High
$16,982.44
Aetna
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$309.03
Typical High
$831.76
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,570.40
Median
$4,365.16
Typical High
$12,882.50
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$263.03
Typical High
$758.58
Blue Shield
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$213.80
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,691.53
Median
$21,379.62
Typical High
$28,840.32
Cigna
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$218.78
Typical High
$776.25
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$162.18
Typical High
$288.40
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$1,071.52
Median
$1,071.52
Typical High
$1,071.52
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$1,202.26
Median
$1,445.44
Typical High
$1,445.44
Optum
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$54.95
Typical High
$70.79
Providence
Setting
Facility
Modifier
Global
Typical Low
$128.82
Median
$177.83
Typical High
$275.42
Providence
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$112.20
Typical High
$776.25
United
Setting
Facility
Modifier
Global
Typical Low
$588.84
Median
$1,621.81
Typical High
$6,760.83
United
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$204.17
Typical High
$446.68

Where California sits

The same service costs 41.7 times more in California than in Minnesota. 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.

California· 1st of 51

$2,692

CA $2,692MN $64.57

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.