go back

Small Joint Injection With Ultrasound Guidance

Montana 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 Montana, 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 $107 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$75.86$64.57 to $132
FacilityA hospital or hospital-owned outpatient department$107$77.62 to $145

How much rates vary

Facilitymedian $107 · 10th to 90th $76 to $158Professionalmedian $76 · 10th to 90th $43 to $191
$100$1K$10K$100Kfacility $107professional $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
$346.74
Median
$346.74
Typical High
$346.74
Aetna
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$69.18
Typical High
$239.88
BCBS
Setting
Facility
Modifier
Global
Typical Low
$64,565.42
Median
$75,857.76
Typical High
$91,201.08
BCBS
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$112.20
Typical High
$131.83
Cigna
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$70.79
Typical High
$70.79
Cigna
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$77.62
Typical High
$120.23
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$117.49
Typical High
$147.91
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$117.49
Typical High
$147.91
Providence
Setting
Facility
Modifier
Global
Typical Low
$45.71
Median
$83.18
Typical High
$128.82
Providence
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$85.11
Typical High
$162.18
United
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$112.20
Typical High
$112.20
United
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$87.10
Typical High
$138.04

Where Montana 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.

Montana· 41st 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.