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Image-Less Computer Navigation In Bone Surgery

South 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?

$507

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

Insurers have agreed to pay about $507 for this procedure. That total is two separate charges: $191 to the doctor who performs it, and $316 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 8 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$191$129 to $295
Facility feeThe hospital or surgery center$316$219 to $2,291

How much rates vary

Facilitymedian $316 · 10th to 90th $166 to $4,365Professionalmedian $191 · 10th to 90th $126 to $339
$200$500$1K$2K$5K$10Kfacility $316professional $191

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. 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
Global
Typical Low
$144.54
Median
$4,365.16
Typical High
$12,589.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$134.90
Typical High
$295.12
Avera
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$288.40
Typical High
$288.40
Cigna
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$316.23
Typical High
$398.11
Medica
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$229.09
Typical High
$380.19
Medica
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$263.03
Typical High
$1,905.46
Midlands
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$331.13
Typical High
$331.13
Midlands
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$309.03
Typical High
$316.23
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$245.47
Typical High
$281.84
Sanford Health Plan
Setting
Professional
Modifier
80 · Assistant surgeon
Typical Low
$56.23
Median
$56.23
Typical High
$56.23
Sanford Health Plan
Setting
Professional
Modifier
AS · PA/NP assist
Typical Low
$56.23
Median
$56.23
Typical High
$56.23
United
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$812.83
Typical High
$812.83
United
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$251.19
Typical High
$398.11
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$269.15
Typical High
$316.23

Where South 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

South Dakota· 44th of 50

$507

$191 physician + $316 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.