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Computer-Guided Navigation Add-On (CT/MRI-Based)

Kentucky rates for HCPCS 0055T

This add-on service is performed alongside a bone or joint surgery, using a computer navigation system built from a CT or MRI scan taken before the operation to track instrument position more precisely. It is billed in addition to the main procedure, such as a joint replacement or spine surgery, rather than standing alone. This version relies on a pre-operative scan rather than live X-ray images taken during surgery.

Facilitymedian $891 · 10th–90th $275$17,3780%10%20%10th90th$891Professionalmedian $195 · 10th–90th $126$4170%20%40%10th90th$195$0.0$0.2$2.0$20.0$200.0$2.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$891.25
Typical High
$17,378.01
Aetna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$190.55
Typical High
$407.38
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$0.02
Median
$181.97
Typical High
$251.19
CareSource
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$3,548.13
Typical High
$45,708.82
CareSource
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$3,467.37
Typical High
$6,025.60
Cigna
Setting
Facility
Modifier
Global
Typical Low
$354.81
Median
$354.81
Typical High
$354.81
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$1,000.00
Typical High
$1,000.00
Molina
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$44.67
Typical High
$1,995.26
United
Setting
Facility
Modifier
Global
Typical Low
$58.88
Median
$724.44
Typical High
$1,949.84
United
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$346.74
Typical High
$645.65