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

Maryland 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?

$186

Typical negotiated rate. In Maryland, July 2026.

Insurers have agreed to pay about $186 for this service. The price depends on where it is billed: about $186 from a physician practice, and about $40.74 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 5 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$186$155 to $269
FacilityA hospital or hospital-owned outpatient department$40.74$36.31 to $129

How much rates vary

Facilitymedian $41 · 10th to 90th $1 to $275Professionalmedian $186 · 10th to 90th $110 to $380
$1$5$20$100$500facility $41professional $186

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$0.98
Median
$0.98
Typical High
$0.98
Aetna
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$173.78
Typical High
$309.03
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$245.47
Typical High
$309.03
Cigna
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$645.65
Typical High
$645.65
Cigna
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$181.97
Typical High
$218.78
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$190.55
Typical High
$309.03
United
Setting
Facility
Modifier
Global
Typical Low
$36.31
Median
$40.74
Typical High
$275.42
United
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$363.08
Typical High
$588.84

Where Maryland 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.

Maryland· 33rd of 51

$186

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.