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Small Joint Injection With Ultrasound Guidance

South Dakota 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?

$102

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $102 for this service. The price depends on where it is billed: about $95.50 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 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$95.50$61.66 to $170
FacilityA hospital or hospital-owned outpatient department$1,072$117 to $1,072

How much rates vary

Facilitymedian $1,072 · 10th to 90th $74 to $1,072Professionalmedian $95 · 10th to 90th $44 to $331
$50$100$200$500$1K$2Kfacility $1,072professional $95

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
$1,071.52
Median
$1,071.52
Typical High
$2,290.87
Aetna
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$75.86
Typical High
$331.13
Aetna
Setting
Professional
Modifier
50 · Both sides
Typical Low
$147.91
Median
$147.91
Typical High
$147.91
Avera
Setting
Facility
Modifier
Global
Typical Low
$44.67
Median
$91.20
Typical High
$117.49
Avera
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$169.82
Typical High
$173.78
Cigna
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$144.54
Typical High
$245.47
Medica
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$109.65
Typical High
$169.82
Medica
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$154.88
Typical High
$616.60
Medica
Setting
Professional
Modifier
50 · Both sides
Typical Low
$302.00
Median
$302.00
Typical High
$302.00
Midlands
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$109.65
Typical High
$169.82
Midlands
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$102.33
Typical High
$162.18
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$112.20
Typical High
$162.18
United
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$812.83
Typical High
$812.83
United
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$95.50
Typical High
$204.17
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$102.33
Typical High
$223.87

Where South Dakota 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 Dakota· 10th of 51

$102

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.