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Image-Less Computer Navigation In Bone Surgery

North Dakota 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?

$390

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

Insurers have agreed to pay about $390 for this procedure. That total is two separate charges: $245 to the doctor who performs it, and $145 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 5 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$245$141 to $316
Facility feeThe hospital or surgery center$145$145 to $1,995

How much rates vary

Facilitymedian $145 · 10th to 90th $138 to $8,511Professionalmedian $245 · 10th to 90th $135 to $363
$200$500$1K$2K$5Kfacility $145professional $245

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
$138.04
Median
$144.54
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$141.25
Typical High
$190.55
BCBS
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$309.03
Typical High
$371.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$263.03
Typical High
$426.58
Medica
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$199.53
Typical High
$275.42
Medica
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$263.03
Typical High
$371.54
United
Setting
Facility
Modifier
Global
Typical Low
$1,819.70
Median
$2,041.74
Typical High
$2,041.74
United
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$245.47
Typical High
$346.74

Where North Dakota 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 Dakota· 48th of 50

$390

$245 physician + $145 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.