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Small Joint Injection With Ultrasound Guidance

Tennessee 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?

$85.11

Typical negotiated rate. In Tennessee, July 2026.

Insurers have agreed to pay about $85.11 for this service. The price depends on where it is billed: about $83.18 from a physician practice, and about $1,349 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$83.18$60.26 to $117
FacilityA hospital or hospital-owned outpatient department$1,349$603 to $2,399

How much rates vary

Facilitymedian $1,349 · 10th to 90th $214 to $3,236Professionalmedian $83 · 10th to 90th $45 to $170
$50$100$200$500$1K$2K$5Kfacility $1,349professional $83

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
$169.82
Median
$1,819.70
Typical High
$4,073.80
Aetna
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$83.18
Typical High
$165.96
Aetna
Setting
Professional
Modifier
50 · Both sides
Typical Low
$239.88
Median
$295.12
Typical High
$389.05
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$81.28
Typical High
$131.83
Ambetter
Setting
Professional
Modifier
50 · Both sides
Typical Low
$169.82
Median
$169.82
Typical High
$169.82
BCBS
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$1,445.44
Typical High
$2,041.74
BCBS
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$89.13
Typical High
$154.88
Cigna
Setting
Facility
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$30.20
Cigna
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$85.11
Typical High
$138.04
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$309.03
Typical High
$309.03
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$691.83
Typical High
$691.83
United
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$794.33
Typical High
$2,137.96
United
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$74.13
Typical High
$134.90

Where Tennessee 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.

Tennessee· 30th of 51

$85.11

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.