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Small Joint Injection With Ultrasound Guidance

Idaho 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 Idaho, July 2026.

Insurers have agreed to pay about $89.13 for this service. The price depends on where it is billed: about $87.10 from a physician practice, and about $170 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$87.10$66.07 to $151
FacilityA hospital or hospital-owned outpatient department$170$79.43 to $661

How much rates vary

Facilitymedian $170 · 10th to 90th $60 to $4,467Professionalmedian $87 · 10th to 90th $46 to $191
$50$200$1K$5Kfacility $170professional $87

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
$79.43
Median
$199.53
Typical High
$7,079.46
Aetna
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$83.18
Typical High
$199.53
Aetna
Setting
Professional
Modifier
50 · Both sides
Typical Low
$239.88
Median
$239.88
Typical High
$239.88
BCBS
Setting
Facility
Modifier
Global
Typical Low
$67.61
Median
$416.87
Typical High
$891.25
BCBS
Setting
Facility
Modifier
50 · Both sides
Typical Low
$102.33
Median
$630.96
Typical High
$1,348.96
BCBS
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$112.20
Typical High
$165.96
BCBS
Setting
Professional
Modifier
50 · Both sides
Typical Low
$128.82
Median
$204.17
Typical High
$245.47
Cigna
Setting
Facility
Modifier
Global
Typical Low
$57.54
Median
$57.54
Typical High
$67.61
Cigna
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$83.18
Typical High
$134.90
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$45.71
Median
$87.10
Typical High
$177.83
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$144.54
Typical High
$173.78
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$165.96
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$549.54
Median
$660.69
Typical High
$977.24
Regence BlueShield
Setting
Facility
Modifier
50 · Both sides
Typical Low
$812.83
Median
$1,096.48
Typical High
$1,445.44
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$112.20
Typical High
$169.82
Select Health
Setting
Facility
Modifier
Global
Typical Low
$81.28
Median
$263.03
Typical High
$467.74
Select Health
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$70.79
Typical High
$173.78
United
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$1,819.70
Typical High
$9,332.54
United
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$83.18
Typical High
$134.90

Where Idaho 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.

Idaho· 20th 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.