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Small Joint Injection With Ultrasound Guidance

Missouri 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 Missouri, July 2026.

Insurers have agreed to pay about $91.20 for this service. The price depends on where it is billed: about $81.28 from a physician practice, and about $1,549 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$81.28$56.23 to $115
FacilityA hospital or hospital-owned outpatient department$1,549$347 to $3,020

How much rates vary

Facilitymedian $1,549 · 10th to 90th $72 to $4,898Professionalmedian $81 · 10th to 90th $46 to $209
$50$100$200$500$1K$2K$5Kfacility $1,549professional $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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$47.86
Median
$1,698.24
Typical High
$5,623.41
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$812.83
Median
$812.83
Typical High
$812.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$85.11
Typical High
$354.81
Aetna
Setting
Professional
Modifier
50 · Both sides
Typical Low
$154.88
Median
$173.78
Typical High
$239.88
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$107.15
Typical High
$169.82
Ambetter
Setting
Professional
Modifier
50 · Both sides
Typical Low
$158.49
Median
$194.98
Typical High
$251.19
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$1,778.28
Typical High
$3,981.07
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$66.07
Typical High
$117.49
Anthem BCBS
Setting
Professional
Modifier
50 · Both sides
Typical Low
$66.07
Median
$100.00
Typical High
$173.78
BCBS
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$83.18
Typical High
$120.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$89.13
Typical High
$147.91
Medica
Setting
Facility
Modifier
Global
Typical Low
$47.86
Median
$89.13
Typical High
$758.58
Medica
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$109.65
Typical High
$616.60
Medica
Setting
Professional
Modifier
50 · Both sides
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
United
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$549.54
Typical High
$1,513.56
United
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$75.86
Typical High
$131.83

Where Missouri 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.

Missouri· 15th 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.