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Small Joint Injection With Ultrasound Guidance

Oklahoma 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 Oklahoma, July 2026.

Insurers have agreed to pay about $91.20 for this service. The price depends on where it is billed: about $72.44 from a physician practice, and about $1,072 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$72.44$51.29 to $91.20
FacilityA hospital or hospital-owned outpatient department$1,072$741 to $1,698

How much rates vary

Facilitymedian $1,072 · 10th to 90th $100 to $3,890Professionalmedian $72 · 10th to 90th $45 to $105
$50$200$1K$5Kfacility $1,072professional $72

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
$85.11
Median
$1,348.96
Typical High
$6,456.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$66.07
Typical High
$85.11
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$97.72
Typical High
$104.71
BCBS
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$1,122.02
Typical High
$1,819.70
BCBS
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$75.86
Typical High
$104.71
Cigna
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$77.62
Typical High
$77.62
Cigna
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$87.10
Typical High
$117.49
Medica
Setting
Facility
Modifier
Global
Typical Low
$51.29
Median
$107.15
Typical High
$1,584.89
Medica
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$83.18
Typical High
$338.84
United
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$562.34
Typical High
$1,548.82
United
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$64.57
Typical High
$97.72

Where Oklahoma 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.

Oklahoma· 16th 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.