go back

Small Joint Injection With Ultrasound Guidance

Alabama 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?

$75.86

Typical negotiated rate. In Alabama, July 2026.

Insurers have agreed to pay about $75.86 for this service. The price depends on where it is billed: about $72.44 from a physician practice, and about $832 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 5 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$72.44$48.98 to $102
FacilityA hospital or hospital-owned outpatient department$832$646 to $1,096

How much rates vary

Facilitymedian $832 · 10th to 90th $407 to $1,585Professionalmedian $72 · 10th to 90th $41 to $138
$50$100$200$500$1K$2Kfacility $832professional $72

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
$562.34
Median
$954.99
Typical High
$2,398.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$74.13
Typical High
$154.88
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$79.43
Typical High
$83.18
BCBS
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$812.83
Typical High
$1,096.48
BCBS
Setting
Facility
Modifier
50 · Both sides
Typical Low
$1,023.29
Median
$1,230.27
Typical High
$1,621.81
BCBS
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$64.57
Typical High
$102.33
Cigna
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$83.18
Typical High
$131.83
United
Setting
Facility
Modifier
Global
Typical Low
$223.87
Median
$645.65
Typical High
$1,548.82
United
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$63.10
Typical High
$120.23

Where Alabama 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.

Alabama· 47th of 51

$75.86

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.