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Small Joint Injection With Ultrasound Guidance

Delaware 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 Delaware, July 2026.

Insurers have agreed to pay about $75.86 for this service. The price depends on where it is billed: about $75.86 from a physician practice, and about $1,148 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 4 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$75.86$45.71 to $87.10
FacilityA hospital or hospital-owned outpatient department$1,148$708 to $2,344

How much rates vary

Facilitymedian $1,148 · 10th to 90th $708 to $2,344Professionalmedian $76 · 10th to 90th $43 to $117
$50$100$200$500$1K$2K$5Kfacility $1,148professional $76

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
$707.95
Median
$1,148.15
Typical High
$2,344.23
Aetna
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$75.86
Typical High
$117.49
Cigna
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$60.26
Typical High
$60.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$81.28
Typical High
$147.91
Highmark BCBS
Setting
Facility
Modifier
50 · Both sides
Typical Low
$1,778.28
Median
$1,778.28
Typical High
$1,778.28
Highmark BCBS
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$85.11
Typical High
$181.97
Highmark BCBS
Setting
Professional
Modifier
50 · Both sides
Typical Low
$70.79
Median
$125.89
Typical High
$173.78
United
Setting
Facility
Modifier
Global
Typical Low
$47.86
Median
$144.54
Typical High
$501.19
United
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$67.61
Typical High
$107.15

Where Delaware 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.

Delaware· 48th 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.