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Small Joint Injection With Ultrasound Guidance

New Jersey 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?

$79.43

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $79.43 for this service. The price depends on where it is billed: about $75.86 from a physician practice, and about $4,677 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$46.77 to $102
FacilityA hospital or hospital-owned outpatient department$4,677$2,188 to $6,918

How much rates vary

Facilitymedian $4,677 · 10th to 90th $141 to $10,471Professionalmedian $76 · 10th to 90th $42 to $224
$50$200$1K$5Kfacility $4,677professional $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
$91.20
Median
$5,495.41
Typical High
$10,715.19
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$177.83
Median
$177.83
Typical High
$177.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$74.13
Typical High
$245.47
AmeriHealth
Setting
Facility
Modifier
Global
Typical Low
$537.03
Median
$933.25
Typical High
$1,949.84
AmeriHealth
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$89.13
Typical High
$177.83
Cigna
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$371.54
Typical High
$371.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$93.33
Typical High
$208.93
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$107.15
Typical High
$147.91
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$954.99
Typical High
$1,513.56
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$81.28
Typical High
$208.93
United
Setting
Facility
Modifier
Global
Typical Low
$1,174.90
Median
$2,754.23
Typical High
$6,760.83
United
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$72.44
Typical High
$158.49

Where New Jersey 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 Jersey· 38th of 51

$79.43

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.