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Small Joint Injection With Ultrasound Guidance

Alaska rates for HCPCS 20604

A clinician uses ultrasound imaging to guide a needle precisely into a small joint or its surrounding bursa, such as a joint in a finger or toe, either to draw out fluid for testing or to inject medication like a steroid. Watching the needle in real time on ultrasound helps ensure accurate placement in these smaller, harder-to-target joints. The imaging guidance and its documentation are included as part of this service.

Rates data updated July 2026.

How much does Small Joint Injection With Ultrasound Guidance cost?

$129

Typical negotiated rate. In Alaska, July 2026.

Insurers have agreed to pay about $129 for this service. The price depends on where it is billed: about $120 from a physician practice, and about $170 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 6 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$120$69.18 to $251
FacilityA hospital or hospital-owned outpatient department$170$95.50 to $389

How much rates vary

Facilitymedian $170 · 10th to 90th $48 to $759Professionalmedian $120 · 10th to 90th $43 to $389
$50$200$1K$5Kfacility $170professional $120

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
$158.49
Median
$758.58
Typical High
$12,022.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$69.18
Typical High
$239.88
Cigna
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$104.71
Typical High
$245.47
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$47.86
Median
$114.82
Typical High
$389.05
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$218.78
Typical High
$416.87
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$323.59
Typical High
$407.38
Providence
Setting
Facility
Modifier
Global
Typical Low
$47.86
Median
$114.82
Typical High
$389.05
Providence
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$93.33
Typical High
$194.98
United
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$199.53
Typical High
$199.53
United
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$213.80
Typical High
$398.11

Where Alaska sits

The same service costs 2.3 times more in Wisconsin than in Kentucky. 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.

Alaska· 3rd of 51

$129

WI $158KY $67.61

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.