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Small Joint Injection With Ultrasound Guidance

Kentucky 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?

$67.61

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $67.61 for this service. The price depends on where it is billed: about $67.61 from a physician practice, and about $851 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$67.61$45.71 to $95.50
FacilityA hospital or hospital-owned outpatient department$851$77.62 to $3,802

How much rates vary

Facilitymedian $851 · 10th to 90th $49 to $10,715Professionalmedian $68 · 10th to 90th $39 to $141
$50$200$1K$5Kfacility $851professional $68

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
$48.98
Median
$851.14
Typical High
$3,890.45
Aetna
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$75.86
Typical High
$147.91
Aetna
Setting
Professional
Modifier
50 · Both sides
Typical Low
$239.88
Median
$239.88
Typical High
$239.88
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$81.28
Typical High
$114.82
Ambetter
Setting
Professional
Modifier
50 · Both sides
Typical Low
$114.82
Median
$114.82
Typical High
$169.82
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,801.89
Median
$10,715.19
Typical High
$11,220.18
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$50.12
Typical High
$74.13
Anthem BCBS
Setting
Professional
Modifier
50 · Both sides
Typical Low
$57.54
Median
$74.13
Typical High
$112.20
CareSource
Setting
Facility
Modifier
Global
Typical Low
$42.66
Median
$57.54
Typical High
$69.18
CareSource
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$85.11
Typical High
$107.15
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$70.79
Typical High
$70.79
Cigna
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$93.33
Typical High
$416.87
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$58.88
United
Setting
Facility
Modifier
Global
Typical Low
$58.88
Median
$724.44
Typical High
$1,949.84
United
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$75.86
Typical High
$128.82

Where Kentucky 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.

Kentucky· 51st of 51

$67.61

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.