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

Washington 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?

$214

Typical negotiated rate. In Washington, July 2026.

Insurers have agreed to pay about $214 for this service. The price depends on where it is billed: about $245 from a physician practice, and about $141 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 10 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$245$178 to $407
FacilityA hospital or hospital-owned outpatient department$141$100 to $2,291

How much rates vary

Facilitymedian $141 · 10th to 90th $85 to $7,943Professionalmedian $245 · 10th to 90th $102 to $501
$50$200$1K$5K$20Kfacility $141professional $245

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
$177.83
Median
$6,456.54
Typical High
$18,620.87
Aetna
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$194.98
Typical High
$575.44
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$316.23
Typical High
$436.52
Cigna
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$707.95
Typical High
$707.95
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$549.54
Typical High
$549.54
Molina
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$50.12
Typical High
$64.57
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$109.65
Typical High
$141.25
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$229.09
Typical High
$234.42
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$331.13
Typical High
$446.68
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$302.00
Typical High
$436.52
United
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$549.54
Typical High
$5,754.40
United
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$275.42
Typical High
$478.63
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$165.96
Typical High
$218.78

Where Washington 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.

Washington· 27th of 51

$214

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.