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Image-Less Computer Navigation In Bone Surgery

Virginia 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?

$521

Typical total for the visit. In Virginia, July 2026.

Insurers have agreed to pay about $521 for this procedure. That total is two separate charges: $166 to the doctor who performs it, and $355 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$166$145 to $229
Facility feeThe hospital or surgery center$355$182 to $4,786

How much rates vary

Facilitymedian $355 · 10th to 90th $148 to $10,965Professionalmedian $166 · 10th to 90th $126 to $955
$0.1$1$10$100$1K$10Kfacility $355professional $166

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
$147.91
Median
$2,630.27
Typical High
$13,489.63
Aetna
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$165.96
Typical High
$2,041.74
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$0.02
Median
$0.02
Typical High
$147.91
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$186.21
Typical High
$933.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$181.97
Typical High
$309.03
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$147.91
Typical High
$173.78
Medcost
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$245.47
Typical High
$331.13
Medcost
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$181.97
Typical High
$281.84
Medcost
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$251.19
Typical High
$251.19
Sentara
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$190.55
Typical High
$1,288.25
Sentara
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$190.55
Typical High
$1,288.25
United
Setting
Facility
Modifier
Global
Typical Low
$194.98
Median
$1,122.02
Typical High
$2,454.71
United
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$173.78
Typical High
$288.40

Where Virginia 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

Virginia· 43rd of 50

$521

$166 physician + $355 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.