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Small Joint Injection With Ultrasound Guidance

Iowa 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?

$107

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $107 for this service. The price depends on where it is billed: about $97.72 from a physician practice, and about $1,479 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 8 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$97.72$72.44 to $182
FacilityA hospital or hospital-owned outpatient department$1,479$195 to $3,802

How much rates vary

Facilitymedian $1,479 · 10th to 90th $95 to $6,761Professionalmedian $98 · 10th to 90th $45 to $295
$50$200$1K$5Kfacility $1,479professional $98

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
$131.83
Median
$2,570.40
Typical High
$7,244.36
Aetna
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$97.72
Typical High
$354.81
Aetna
Setting
Professional
Modifier
50 · Both sides
Typical Low
$162.18
Median
$239.88
Typical High
$239.88
Cigna
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$131.83
Typical High
$245.47
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$102.33
Typical High
$295.12
Medica
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$147.91
Typical High
$1,148.15
Medica
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$144.54
Typical High
$338.84
Medica
Setting
Professional
Modifier
50 · Both sides
Typical Low
$177.83
Median
$177.83
Typical High
$177.83
Midlands
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$165.96
Typical High
$213.80
Midlands
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$144.54
Typical High
$275.42
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$87.10
Typical High
$181.97
United
Setting
Facility
Modifier
Global
Typical Low
$478.63
Median
$831.76
Typical High
$2,884.03
United
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$93.33
Typical High
$190.55
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$144.54
Typical High
$190.55

Where Iowa 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.

Iowa· 7th of 51

$107

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.