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Small Joint Injection With Ultrasound Guidance

Louisiana 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?

$91.20

Typical negotiated rate. In Louisiana, July 2026.

Insurers have agreed to pay about $91.20 for this service. The price depends on where it is billed: about $75.86 from a physician practice, and about $1,122 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 5 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$75.86$57.54 to $95.50
FacilityA hospital or hospital-owned outpatient department$1,122$501 to $2,512

How much rates vary

Facilitymedian $1,122 · 10th to 90th $135 to $3,467Professionalmedian $76 · 10th to 90th $42 to $132
$50$100$200$500$1K$2K$5Kfacility $1,122professional $76

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
$95.50
Median
$1,288.25
Typical High
$3,467.37
Aetna
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$75.86
Typical High
$141.25
BCBS
Setting
Facility
Modifier
Global
Typical Low
$309.03
Median
$575.44
Typical High
$1,023.29
BCBS
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$74.13
Typical High
$131.83
Christus
Setting
Facility
Modifier
Global
Typical Low
$39.81
Median
$323.59
Typical High
$323.59
Cigna
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$398.11
Cigna
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$89.13
Typical High
$131.83
United
Setting
Facility
Modifier
Global
Typical Low
$223.87
Median
$501.19
Typical High
$1,258.93
United
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$70.79
Typical High
$120.23

Where Louisiana 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.

Louisiana· 17th of 51

$91.20

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.