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Small Joint Injection With Ultrasound Guidance

Colorado 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?

$89.13

Typical negotiated rate. In Colorado, July 2026.

Insurers have agreed to pay about $89.13 for this service. The price depends on where it is billed: about $81.28 from a physician practice, and about $2,692 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 7 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$81.28$53.70 to $110
FacilityA hospital or hospital-owned outpatient department$2,692$813 to $4,786

How much rates vary

Facilitymedian $2,692 · 10th to 90th $62 to $6,457Professionalmedian $81 · 10th to 90th $46 to $178
$50$200$1K$5Kfacility $2,692professional $81

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
$58.88
Median
$2,454.71
Typical High
$6,456.54
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$316.23
Median
$316.23
Typical High
$316.23
Aetna
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$79.43
Typical High
$213.80
Aetna
Setting
Professional
Modifier
50 · Both sides
Typical Low
$302.00
Median
$302.00
Typical High
$436.52
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,454.71
Median
$3,388.44
Typical High
$8,511.38
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$89.13
Typical High
$162.18
Anthem BCBS
Setting
Professional
Modifier
50 · Both sides
Typical Low
$57.54
Median
$87.10
Typical High
$275.42
Cigna
Setting
Facility
Modifier
Global
Typical Low
$69.18
Median
$70.79
Typical High
$218.78
Cigna
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$87.10
Typical High
$144.54
Denver HMP
Setting
Facility
Modifier
Global
Typical Low
$45.71
Median
$83.18
Typical High
$138.04
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$91.20
Typical High
$239.88
Select Health
Setting
Facility
Modifier
Global
Typical Low
$41.69
Median
$79.43
Typical High
$190.55
Select Health
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$51.29
Typical High
$79.43
United
Setting
Facility
Modifier
Global
Typical Low
$588.84
Median
$1,318.26
Typical High
$2,691.53
United
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$85.11
Typical High
$151.36

Where Colorado 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.

Colorado· 21st of 51

$89.13

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.