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Small Joint Injection With Ultrasound Guidance

Washington, DC 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?

$87.10

Typical physician fee. In Washington, DC, July 2026.

Insurers have agreed to pay about $87.10 for this service. Most negotiated rates run $54.95 to $288.

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.

How much rates vary

Facilitymedian $1,514 · 10th to 90th $87 to $4,074Professionalmedian $81 · 10th to 90th $45 to $234
$50$100$200$500$1K$2K$5Kfacility $1,514professional $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
$87.10
Median
$1,548.82
Typical High
$4,073.80
Aetna
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$81.28
Typical High
$134.90
Aetna
Setting
Professional
Modifier
50 · Both sides
Typical Low
$93.33
Median
$93.33
Typical High
$93.33
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$295.12
Typical High
$977.24
Cigna
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$85.11
Typical High
$194.98
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$102.33
Typical High
$190.55
United
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$977.24
Typical High
$1,819.70
United
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$91.20
Typical High
$204.17

Where Washington, DC 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.

Washington, DC· 22nd of 51

$87.10

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.