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Illinois rates for HCPCS 20604

Arthrocentesis, aspiration and/or injection, small joint or bursa (eg, fingers, toes); with ultrasound guidance, with permanent recording and reporting

Facilitymedian $977 · 10th–90th $87$5,6230%5%10th90th$977Professionalmedian $89 · 10th–90th $45$2400%5%10%10th90th$89$20.0$100.0$500.0$2.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$79.43 / $1,148.15 / $5,623.41
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$2,754.23 / $7,413.10 / $7,413.10
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$43.65 / $83.18 / $229.09
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$120.23 / $257.04 / $398.11
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$47.86 / $81.28 / $114.82
Ambetter
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$114.82 / $114.82 / $169.82
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$95.50 / $95.50 / $457.09
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53.70 / $93.33 / $162.18
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$93.33 / $93.33 / $93.33
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $85.11 / $147.91
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$67.61 / $138.04 / $331.13
Hally Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $58.88 / $112.20
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $32.36 / $125.89
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$223.87 / $724.44 / $2,089.30
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46.77 / $75.86 / $131.83