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Small Joint Injection With Ultrasound Guidance

Maryland 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?

$81.28

Typical negotiated rate. In Maryland, July 2026.

Insurers have agreed to pay about $81.28 for this service. The price depends on where it is billed: about $81.28 from a physician practice, and about $72.44 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$81.28$52.48 to $112
FacilityA hospital or hospital-owned outpatient department$72.44$42.66 to $132

How much rates vary

Facilitymedian $72 · 10th to 90th $37 to $513Professionalmedian $81 · 10th to 90th $46 to $229
$50$100$200$500facility $72professional $81

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$131.83
Median
$131.83
Typical High
$131.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$83.18
Typical High
$245.47
Aetna
Setting
Professional
Modifier
50 · Both sides
Typical Low
$151.36
Median
$316.23
Typical High
$316.23
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$46.77
Typical High
$58.88
Cigna
Setting
Facility
Modifier
Global
Typical Low
$45.71
Median
$512.86
Typical High
$645.65
Cigna
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$81.28
Typical High
$158.49
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$104.71
Typical High
$151.36
United
Setting
Facility
Modifier
Global
Typical Low
$36.31
Median
$42.66
Typical High
$128.82
United
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$75.86
Typical High
$138.04
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$107.15
Typical High
$131.83

Where Maryland 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.

Maryland· 37th of 51

$81.28

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.