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Image-Less Computer Navigation In Bone Surgery

North Carolina 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?

$4,448

Typical total for the visit. In North Carolina, July 2026.

Insurers have agreed to pay about $4,448 for this procedure. That total is two separate charges: $182 to the doctor who performs it, and $4,266 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 7 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$182$141 to $288
Facility feeThe hospital or surgery center$4,266$363 to $9,550

How much rates vary

Facilitymedian $4,266 · 10th to 90th $141 to $12,589Professionalmedian $182 · 10th to 90th $129 to $447
$1$10$100$1K$10Kfacility $4,266professional $182

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
$204.17
Median
$7,762.47
Typical High
$12,589.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$147.91
Typical High
$446.68
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$186.21
Typical High
$257.04
BCBS
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$288.40
Typical High
$389.05
Cigna
Setting
Facility
Modifier
Global
Typical Low
$218.78
Median
$218.78
Typical High
$602.56
Cigna
Setting
Facility
Modifier
AS · PA/NP assist
Typical Low
$21.88
Median
$21.88
Typical High
$21.88
Cigna
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$208.93
Typical High
$363.08
Medcost
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$245.47
Typical High
$331.13
Medcost
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$177.83
Typical High
$309.03
United
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$891.25
Typical High
$1,995.26
United
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$162.18
Typical High
$309.03
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$891.25
Typical High
$891.25
Wellcare
Setting
Facility
Modifier
AS · PA/NP assist
Typical Low
$89.13
Median
$89.13
Typical High
$89.13
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$1,318.26
Median
$1,905.46
Typical High
$1,905.46

Where North Carolina sits

The same service costs 67.6 times more in Delaware than in Maryland. 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

North Carolina· 6th of 50

$4,448

$182 physician + $4,266 facility

DE $13,638MD $202

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.