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Image-Less Computer Navigation In Bone Surgery

Washington 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?

$495

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

Insurers have agreed to pay about $495 for this procedure. That total is two separate charges: $200 to the doctor who performs it, and $295 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 11 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$200$148 to $331
Facility feeThe hospital or surgery center$295$195 to $2,291

How much rates vary

Facilitymedian $295 · 10th to 90th $170 to $9,772Professionalmedian $200 · 10th to 90th $126 to $457
$50$200$1K$5K$20Kfacility $295professional $200

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
$181.97
Median
$2,290.87
Typical High
$14,791.08
Aetna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$186.21
Typical High
$478.63
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$223.87
Typical High
$263.03
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$275.42
Typical High
$398.11
Cigna
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$707.95
Typical High
$707.95
Cigna
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$234.42
Typical High
$426.58
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$204.17
Typical High
$346.74
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$218.78
Typical High
$346.74
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$33.11
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$275.42
Typical High
$288.40
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$194.98
Median
$194.98
Typical High
$194.98
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$288.40
Typical High
$380.19
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$281.84
Typical High
$389.05
United
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$549.54
Typical High
$5,754.40
United
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$229.09
Typical High
$416.87
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$141.25
Typical High
$251.19

Where Washington 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

Washington· 45th of 50

$495

$200 physician + $295 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.