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Small Joint Injection With Ultrasound Guidance

Indiana 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?

$77.62

Typical negotiated rate. In Indiana, July 2026.

Insurers have agreed to pay about $77.62 for this service. The price depends on where it is billed: about $69.18 from a physician practice, and about $3,890 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 6 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$69.18$45.71 to $83.18
FacilityA hospital or hospital-owned outpatient department$3,890$1,820 to $5,495

How much rates vary

Facilitymedian $3,890 · 10th to 90th $741 to $8,318Professionalmedian $69 · 10th to 90th $42 to $126
$50$200$1K$5Kfacility $3,890professional $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
$70.79
Median
$1,659.59
Typical High
$5,623.41
Aetna
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$70.79
Typical High
$131.83
Aetna
Setting
Professional
Modifier
50 · Both sides
Typical Low
$147.91
Median
$295.12
Typical High
$295.12
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$95.50
Typical High
$114.82
Ambetter
Setting
Professional
Modifier
50 · Both sides
Typical Low
$83.18
Median
$114.82
Typical High
$190.55
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,513.56
Median
$4,365.16
Typical High
$8,317.64
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$66.07
Typical High
$112.20
Anthem BCBS
Setting
Professional
Modifier
50 · Both sides
Typical Low
$57.54
Median
$100.00
Typical High
$165.96
CareSource
Setting
Facility
Modifier
Global
Typical Low
$41.69
Median
$52.48
Typical High
$60.26
CareSource
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$97.72
Typical High
$104.71
Cigna
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$70.79
Typical High
$75.86
Cigna
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$79.43
Typical High
$128.82
United
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$2,137.96
Typical High
$5,754.40
United
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$70.79
Typical High
$125.89

Where Indiana 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.

Indiana· 42nd of 51

$77.62

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.