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External Frame With Computer-Guided Adjustment

Hawaii rates for HCPCS 20696

An external frame is attached to a limb by pins and wires passed through the bone in more than one direction, holding the bone from outside the skin. A computer program then works out a schedule of small daily adjustments to the frame, gradually moving the bone into the correct position over the following weeks. Imaging and the follow-up adjustment calculations are included.

Rates data updated October 2026.

How much does External Frame With Computer-Guided Adjustment cost?

$5,247

Typical total for the visit. In Hawaii, October 2026.

Insurers have agreed to pay about $5,247 for this procedure. That total is two separate charges: $1,445 to the doctor who performs it, and $3,802 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

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 6 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$1,445$1,413 to $1,622
Facility feeThe hospital or surgery center$3,802$2,818 to $4,467

How much rates vary

Facilitymedian $3,802 · 10th to 90th $1,778 to $4,467Professionalmedian $1,445 · 10th to 90th $30 to $1,820
$50$100$200$500$1K$2K$5Kfacility $3,802professional $1,445

Distribution of negotiated rates across all payers (price axis is log-scale). 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
None
Typical Low
$1,778.28
Median
$4,466.84
Typical High
$4,466.84
Aetna
Setting
Professional
Modifier
None
Typical Low
$1,096.48
Median
$1,174.90
Typical High
$1,698.24
Cigna
Setting
Facility
Modifier
None
Typical Low
$3,801.89
Median
$3,801.89
Typical High
$3,801.89
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,445.44
Median
$1,445.44
Typical High
$1,445.44
HMSA
Setting
Professional
Modifier
None
Typical Low
$1,548.82
Median
$1,737.80
Typical High
$1,819.70
HMSA
Setting
Professional
Modifier
51 · Multiple procedures
Typical Low
$776.25
Median
$870.96
Typical High
$912.01
HMSA
Setting
Professional
Modifier
AS · PA/NP assist
Typical Low
$263.03
Median
$295.12
Typical High
$309.03
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$1,174.90
Median
$1,288.25
Typical High
$1,778.28
United
Setting
Facility
Modifier
None
Typical Low
$2,238.72
Median
$3,019.95
Typical High
$3,890.45
United
Setting
Professional
Modifier
None
Typical Low
$1,380.38
Median
$1,445.44
Typical High
$1,445.44
University Health Alliance
Setting
Professional
Modifier
None
Typical Low
$29.51
Median
$199.53
Typical High
$1,584.89

Where Hawaii sits

The same service costs 8.5 times more in Wyoming than in Kentucky. 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.

Physician feeFacility fee

Hawaii· 27th of 51

$5,247

$1,445 physician + $3,802 facility

WY $22,644KY $2,656

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.