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

Virginia 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 $1,288 · 10th–90th $186$10,0000%5%10th90th$1,288Professionalmedian $219 · 10th–90th $138$6460%10%20%10th90th$219$0.0$0.2$2.0$20.0$200.0$2.0K

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
$218.78
Median
$3,630.78
Typical High
$12,882.50
Aetna
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$218.78
Typical High
$426.58
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$0.02
Median
$0.02
Typical High
$186.21
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$295.12
Typical High
$389.05
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$245.47
Typical High
$302.00
Medcost
Setting
Facility
Modifier
Global
Typical Low
$158.49
Median
$263.03
Typical High
$398.11
Medcost
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$302.00
Typical High
$302.00
Sentara
Setting
Facility
Modifier
Global
Typical Low
$154.88
Median
$263.03
Typical High
$1,479.11
Sentara
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$263.03
Typical High
$1,479.11
United
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$1,047.13
Typical High
$2,344.23
United
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$354.81
Typical High
$676.08