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Image-Less Computer Navigation In Bone Surgery

Hawaii rates for HCPCS 20985

During an orthopedic operation the surgeon uses a computer navigation system to guide instruments and implants more precisely than by hand alone. This version works without any scan images: the system is set up from landmarks the surgeon registers on the patient during the operation itself. It is extra guidance billed in addition to the main procedure, not a service on its own.

Rates data updated July 2026.

How much does Image-Less Computer Navigation In Bone Surgery cost?

$148

Typical physician fee. In Hawaii, July 2026.

Insurers have agreed to pay about $148 for this service. Most negotiated rates run $135 to $204.

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.

How much rates vary

Facilitymedian $2,884 · 10th to 90th $1,000 to $2,884Professionalmedian $148 · 10th to 90th $123 to $229
$50$100$200$500$1K$2Kfacility $2,884professional $148

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
$1,000.00
Median
$2,884.03
Typical High
$2,884.03
Aetna
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$144.54
Typical High
$158.49
Cigna
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$173.78
Typical High
$208.93
HMSA
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$229.09
Typical High
$269.15
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$144.54
Typical High
$181.97
United
Setting
Facility
Modifier
Global
Typical Low
$1,122.02
Median
$1,122.02
Typical High
$1,122.02
United
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$181.97
Typical High
$223.87
University Health Alliance
Setting
Professional
Modifier
Global
Typical Low
$23.99
Median
$125.89
Typical High
$190.55

Where Hawaii sits

The same service costs 2.3 times more in Minnesota than in Delaware. 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.

Hawaii· 49th of 51

$148

MN $339DE $148

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.