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Small Joint Injection With Ultrasound Guidance

Massachusetts 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?

$102

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $102 for this service. The price depends on where it is billed: about $97.72 from a physician practice, and about $537 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 9 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$97.72$67.61 to $162
FacilityA hospital or hospital-owned outpatient department$537$67.61 to $2,239

How much rates vary

Facilitymedian $537 · 10th to 90th $52 to $3,388Professionalmedian $98 · 10th to 90th $48 to $263
$50$100$200$500$1K$2K$5Kfacility $537professional $98

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
$67.61
Median
$1,819.70
Typical High
$3,715.35
Aetna
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$93.33
Typical High
$295.12
Aetna
Setting
Professional
Modifier
50 · Both sides
Typical Low
$194.98
Median
$223.87
Typical High
$331.13
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$537.03
Typical High
$2,818.38
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$93.33
Typical High
$239.88
BCBS
Setting
Facility
Modifier
Global
Typical Low
$52.48
Median
$52.48
Typical High
$123.03
BCBS
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$100.00
Typical High
$186.21
Cigna
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$97.72
Typical High
$199.53
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$43.65
Median
$57.54
Typical High
$3,311.31
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$120.23
Typical High
$154.88
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$2,041.74
Typical High
$3,467.37
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$104.71
Typical High
$223.87
Health New England
Setting
Facility
Modifier
Global
Typical Low
$63.10
Median
$831.76
Typical High
$1,047.13
Health New England
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$141.25
Typical High
$354.81
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$537.03
Typical High
$2,818.38
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$93.33
Typical High
$239.88
United
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$1,698.24
Typical High
$2,754.23
United
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$104.71
Typical High
$234.42

Where Massachusetts 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.

Massachusetts· 8th of 51

$102

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.