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Small Joint Injection With Ultrasound Guidance

Michigan 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 Michigan, July 2026.

Insurers have agreed to pay about $77.62 for this service. The price depends on where it is billed: about $75.86 from a physician practice, and about $977 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$75.86$56.23 to $105
FacilityA hospital or hospital-owned outpatient department$977$135 to $2,042

How much rates vary

Facilitymedian $977 · 10th to 90th $78 to $4,898Professionalmedian $76 · 10th to 90th $43 to $135
$50$100$200$500$1K$2K$5Kfacility $977professional $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
$77.62
Median
$977.24
Typical High
$4,897.79
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$2,398.83
Median
$2,398.83
Typical High
$2,398.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$75.86
Typical High
$141.25
Aetna
Setting
Professional
Modifier
50 · Both sides
Typical Low
$42.66
Median
$151.36
Typical High
$213.80
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$47.86
Typical High
$83.18
BCBS
Setting
Facility
Modifier
Global
Typical Low
$67.61
Median
$67.61
Typical High
$67.61
BCBS
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$48.98
Typical High
$107.15
BCBS
Setting
Professional
Modifier
50 · Both sides
Typical Low
$72.44
Median
$134.90
Typical High
$158.49
CareSource
Setting
Facility
Modifier
Global
Typical Low
$52.48
Median
$52.48
Typical High
$81.28
CareSource
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$75.86
Typical High
$104.71
Cigna
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$72.44
Typical High
$120.23
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$72.44
Median
$199.53
Typical High
$4,897.79
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$81.28
Typical High
$134.90
United
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$812.83
Typical High
$1,737.80
United
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$74.13
Typical High
$104.71

Where Michigan 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.

Michigan· 44th 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.