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Small Joint Injection With Ultrasound Guidance

North Dakota 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 North Dakota, July 2026.

Insurers have agreed to pay about $91.20 for this service. The price depends on where it is billed: about $93.33 from a physician practice, and about $75.86 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 5 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$93.33$67.61 to $158
FacilityA hospital or hospital-owned outpatient department$75.86$45.71 to $1,072

How much rates vary

Facilitymedian $76 · 10th to 90th $46 to $1,995Professionalmedian $93 · 10th to 90th $45 to $209
$50$100$200$500$1K$2K$5Kfacility $76professional $93

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
$45.71
Median
$75.86
Typical High
$1,995.26
Aetna
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$69.18
Typical High
$181.97
BCBS
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$123.03
Typical High
$208.93
BCBS
Setting
Professional
Modifier
50 · Both sides
Typical Low
$134.90
Median
$186.21
Typical High
$309.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$123.03
Typical High
$229.09
Medica
Setting
Facility
Modifier
Global
Typical Low
$45.71
Median
$75.86
Typical High
$151.36
Medica
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$134.90
Typical High
$338.84
United
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$1,819.70
Typical High
$2,041.74
United
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$91.20
Typical High
$177.83

Where North Dakota 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.

North Dakota· 19th 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.