go back

Small Joint Injection With Ultrasound Guidance

Virginia 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?

$83.18

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $83.18 for this service. The price depends on where it is billed: about $81.28 from a physician practice, and about $138 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$81.28$56.23 to $107
FacilityA hospital or hospital-owned outpatient department$138$74.13 to $2,042

How much rates vary

Facilitymedian $138 · 10th to 90th $52 to $5,248Professionalmedian $81 · 10th to 90th $46 to $162
$50$200$1K$5Kfacility $138professional $81

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
$77.62
Median
$537.03
Typical High
$5,888.44
Aetna
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$75.86
Typical High
$147.91
Aetna
Setting
Professional
Modifier
50 · Both sides
Typical Low
$151.36
Median
$186.21
Typical High
$186.21
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,137.96
Median
$2,570.40
Typical High
$2,951.21
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$89.13
Typical High
$162.18
Anthem BCBS
Setting
Professional
Modifier
50 · Both sides
Typical Low
$74.13
Median
$134.90
Typical High
$245.47
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$57.54
Typical High
$1,047.13
Cigna
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$645.65
Typical High
$645.65
Cigna
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$81.28
Typical High
$144.54
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$109.65
Typical High
$128.82
Medcost
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$186.21
Typical High
$186.21
Medcost
Setting
Facility
Modifier
Global
Typical Low
$45.71
Median
$79.43
Typical High
$131.83
Medcost
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$54.95
Typical High
$54.95
Sentara
Setting
Facility
Modifier
Global
Typical Low
$43.65
Median
$61.66
Typical High
$1,288.25
Sentara
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$97.72
Typical High
$1,288.25
United
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$1,122.02
Typical High
$2,454.71
United
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$72.44
Typical High
$131.83

Where Virginia 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.

Virginia· 31st of 51

$83.18

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.