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Small Joint Injection With Ultrasound Guidance

Hawaii 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?

$69.18

Typical physician fee. In Hawaii, July 2026.

Insurers have agreed to pay about $69.18 for this service. Most negotiated rates run $45.71 to $89.13.

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.

How much rates vary

Facilitymedian $2,884 · 10th to 90th $1,000 to $2,884Professionalmedian $69 · 10th to 90th $43 to $117
$20$50$100$200$500$1K$2Kfacility $2,884professional $69

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
$1,000.00
Median
$2,884.03
Typical High
$2,884.03
Aetna
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$60.26
Typical High
$81.28
Cigna
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$95.50
Typical High
$128.82
HMSA
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$123.03
Typical High
$131.83
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$97.72
Typical High
$131.83
United
Setting
Facility
Modifier
Global
Typical Low
$1,122.02
Median
$1,122.02
Typical High
$1,122.02
United
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$87.10
Typical High
$117.49
University Health Alliance
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$60.26
Typical High
$114.82

Where Hawaii 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.

Hawaii· 50th of 51

$69.18

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.