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Image-Less Computer Navigation In Bone Surgery

West 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?

$1,378

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

Insurers have agreed to pay about $1,378 for this procedure. That total is two separate charges: $148 to the doctor who performs it, and $1,230 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$148$132 to $166
Facility feeThe hospital or surgery center$1,230$145 to $12,023

How much rates vary

Facilitymedian $1,230 · 10th to 90th $145 to $13,183Professionalmedian $148 · 10th to 90th $126 to $204
$50$200$1K$5Kfacility $1,230professional $148

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
$144.54
Median
$1,412.54
Typical High
$13,182.57
Aetna
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$144.54
Typical High
$165.96
CareSource
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$186.21
Typical High
$190.55
CareSource
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$165.96
Typical High
$229.09
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$218.78
Typical High
$218.78
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
$138.04
Median
$223.87
Typical High
$724.44
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$9,772.37
Median
$13,489.63
Typical High
$15,135.61
United
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$457.09
Typical High
$977.24
United
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$165.96
Typical High
$251.19

Where West 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

West Virginia· 32nd of 50

$1,378

$148 physician + $1,230 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.