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Small Joint Injection With Ultrasound Guidance

South Carolina 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 South Carolina, July 2026.

Insurers have agreed to pay about $79.43 for this service. The price depends on where it is billed: about $79.43 from a physician practice, and about $339 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$79.43$53.70 to $117
FacilityA hospital or hospital-owned outpatient department$339$93.33 to $5,623

How much rates vary

Facilitymedian $339 · 10th to 90th $52 to $9,772Professionalmedian $79 · 10th to 90th $43 to $170
$50$200$1K$5K$20Kfacility $339professional $79

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
$52.48
Median
$4,897.79
Typical High
$21,877.62
Aetna
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$79.43
Typical High
$165.96
Aetna
Setting
Professional
Modifier
50 · Both sides
Typical Low
$199.53
Median
$199.53
Typical High
$281.84
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$77.62
Typical High
$151.36
Ambetter
Setting
Professional
Modifier
50 · Both sides
Typical Low
$134.90
Median
$134.90
Typical High
$134.90
BCBS
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$562.34
Typical High
$851.14
BCBS
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$151.36
Typical High
$263.03
Cigna
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$100.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$89.13
Typical High
$147.91
Medcost
Setting
Facility
Modifier
Global
Typical Low
$48.98
Median
$83.18
Typical High
$134.90
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$1,174.90
Typical High
$4,677.35
United
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$69.18
Typical High
$120.23

Where South Carolina 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.

South Carolina· 39th 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.