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Small Joint Injection With Ultrasound Guidance

New Hampshire 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 New Hampshire, July 2026.

Insurers have agreed to pay about $91.20 for this service. The price depends on where it is billed: about $89.13 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 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$89.13$64.57 to $138
FacilityA hospital or hospital-owned outpatient department$1,549$1,413 to $8,913

How much rates vary

Facilitymedian $1,549 · 10th to 90th $100 to $9,772Professionalmedian $89 · 10th to 90th $47 to $191
$50$200$1K$5Kfacility $1,549professional $89

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
$100.00
Median
$8,912.51
Typical High
$9,772.37
Aetna
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$72.44
Typical High
$162.18
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,288.25
Median
$1,412.54
Typical High
$2,630.27
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$89.13
Typical High
$173.78
Anthem BCBS
Setting
Professional
Modifier
50 · Both sides
Typical Low
$72.44
Median
$131.83
Typical High
$257.04
Cigna
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$109.65
Typical High
$204.17
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$7,413.10
Median
$7,413.10
Typical High
$7,413.10
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$100.00
Typical High
$199.53
United
Setting
Facility
Modifier
Global
Typical Low
$7,413.10
Median
$7,413.10
Typical High
$7,413.10
United
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$102.33
Typical High
$204.17
Well Sense
Setting
Facility
Modifier
Global
Typical Low
$29.51
Median
$30.20
Typical High
$100.00
Well Sense
Setting
Facility
Modifier
50 · Both sides
Typical Low
$104.71
Median
$104.71
Typical High
$104.71

Where New Hampshire 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.

New Hampshire· 18th 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.