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Small Joint Injection With Ultrasound Guidance

Illinois 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?

$85.11

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $85.11 for this service. The price depends on where it is billed: about $83.18 from a physician practice, and about $977 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 7 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$83.18$61.66 to $129
FacilityA hospital or hospital-owned outpatient department$977$145 to $2,344

How much rates vary

Facilitymedian $977 · 10th to 90th $81 to $5,129Professionalmedian $83 · 10th to 90th $45 to $191
$50$200$1K$5Kfacility $977professional $83

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
$81.28
Median
$1,096.48
Typical High
$5,248.07
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$1,380.38
Median
$7,413.10
Typical High
$7,413.10
Aetna
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$79.43
Typical High
$208.93
Aetna
Setting
Professional
Modifier
50 · Both sides
Typical Low
$208.93
Median
$213.80
Typical High
$257.04
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$81.28
Typical High
$114.82
Ambetter
Setting
Professional
Modifier
50 · Both sides
Typical Low
$114.82
Median
$125.89
Typical High
$169.82
BCBS
Setting
Facility
Modifier
Global
Typical Low
$380.19
Median
$457.09
Typical High
$1,000.00
BCBS
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$85.11
Typical High
$169.82
Cigna
Setting
Facility
Modifier
Global
Typical Low
$93.33
Median
$93.33
Typical High
$93.33
Cigna
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$85.11
Typical High
$147.91
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$138.04
Typical High
$331.13
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$58.88
Typical High
$112.20
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$134.90
United
Setting
Facility
Modifier
Global
Typical Low
$158.49
Median
$691.83
Typical High
$2,089.30
United
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$79.43
Typical High
$138.04

Where Illinois 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.

Illinois· 28th of 51

$85.11

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.