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Small Joint Injection With Ultrasound Guidance

Nevada 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?

$81.28

Typical negotiated rate. In Nevada, July 2026.

Insurers have agreed to pay about $81.28 for this service. The price depends on where it is billed: about $77.62 from a physician practice, and about $1,585 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$77.62$51.29 to $112
FacilityA hospital or hospital-owned outpatient department$1,585$251 to $2,570

How much rates vary

Facilitymedian $1,585 · 10th to 90th $44 to $4,365Professionalmedian $78 · 10th to 90th $44 to $245
$50$200$1K$5Kfacility $1,585professional $78

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
$43.65
Median
$1,584.89
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$77.62
Typical High
$354.81
Aetna
Setting
Professional
Modifier
50 · Both sides
Typical Low
$239.88
Median
$239.88
Typical High
$239.88
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$87.10
Typical High
$87.10
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,513.56
Median
$3,467.37
Typical High
$4,466.84
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$85.11
Typical High
$138.04
Anthem BCBS
Setting
Professional
Modifier
50 · Both sides
Typical Low
$57.54
Median
$109.65
Typical High
$141.25
Cigna
Setting
Facility
Modifier
Global
Typical Low
$51.29
Median
$51.29
Typical High
$51.29
Cigna
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$77.62
Typical High
$128.82
Hometown Health
Setting
Professional
Modifier
Global
Typical Low
$0.56
Median
$56.23
Typical High
$120.23
Hometown Health
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$58.88
Typical High
$128.82
Select Health
Setting
Facility
Modifier
Global
Typical Low
$38.90
Median
$77.62
Typical High
$87.10
Select Health
Setting
Professional
Modifier
Global
Typical Low
$31.62
Median
$74.13
Typical High
$87.10
United
Setting
Facility
Modifier
Global
Typical Low
$52.48
Median
$562.34
Typical High
$2,041.74
United
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$74.13
Typical High
$128.82

Where Nevada 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.

Nevada· 35th of 51

$81.28

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.