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

Hawaii 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?

$174

Typical physician fee. In Hawaii, July 2026.

Insurers have agreed to pay about $174 for this service. Most negotiated rates run $132 to $269.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $2,884 · 10th to 90th $1,000 to $2,884Professionalmedian $170 · 10th to 90th $107 to $269
$100$200$500$1K$2Kfacility $2,884professional $170

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
$1,000.00
Median
$2,884.03
Typical High
$2,884.03
Aetna
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$169.82
Typical High
$269.15
Cigna
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$194.98
Typical High
$194.98
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$173.78
Typical High
$223.87
United
Setting
Facility
Modifier
Global
Typical Low
$1,122.02
Median
$1,122.02
Typical High
$1,122.02
United
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$275.42
Typical High
$416.87

Where Hawaii 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.

Hawaii· 38th of 51

$174

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.