go back

Small Joint Injection With Ultrasound Guidance

Oregon 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?

$112

Typical negotiated rate. In Oregon, July 2026.

Insurers have agreed to pay about $112 for this service. The price depends on where it is billed: about $105 from a physician practice, and about $155 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 8 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$105$72.44 to $158
FacilityA hospital or hospital-owned outpatient department$155$110 to $182

How much rates vary

Facilitymedian $155 · 10th to 90th $72 to $1,380Professionalmedian $105 · 10th to 90th $47 to $229
$50$100$200$500$1K$2K$5Kfacility $155professional $105

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
$114.82
Median
$269.15
Typical High
$7,943.28
Aetna
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$93.33
Typical High
$245.47
Aetna
Setting
Professional
Modifier
50 · Both sides
Typical Low
$239.88
Median
$239.88
Typical High
$269.15
Cigna
Setting
Facility
Modifier
Global
Typical Low
$851.14
Median
$851.14
Typical High
$851.14
Cigna
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$117.49
Typical High
$208.93
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$120.23
Typical High
$213.80
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$57.54
Median
$93.33
Typical High
$173.78
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$125.89
Typical High
$204.17
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$97.72
Median
$154.88
Typical High
$162.18
Providence
Setting
Facility
Modifier
Global
Typical Low
$57.54
Median
$95.50
Typical High
$173.78
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$120.23
Typical High
$208.93
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$977.24
Typical High
$1,174.90
Regence BlueShield
Setting
Facility
Modifier
50 · Both sides
Typical Low
$1,122.02
Median
$1,445.44
Typical High
$1,778.28
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$134.90
Typical High
$229.09
United
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$1,122.02
Typical High
$5,128.61
United
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$112.20
Typical High
$186.21

Where Oregon 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.

Oregon· 6th of 51

$112

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.