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Small Joint Injection With Ultrasound Guidance

West 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 West Virginia, July 2026.

Insurers have agreed to pay about $83.18 for this service. The price depends on where it is billed: about $77.62 from a physician practice, and about $794 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 5 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$77.62$48.98 to $93.33
FacilityA hospital or hospital-owned outpatient department$794$661 to $871

How much rates vary

Facilitymedian $794 · 10th to 90th $78 to $1,000Professionalmedian $78 · 10th to 90th $43 to $98
$50$100$200$500$1Kfacility $794professional $78

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
$794.33
Typical High
$1,000.00
Aetna
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$77.62
Typical High
$97.72
Aetna
Setting
Professional
Modifier
50 · Both sides
Typical Low
$151.36
Median
$151.36
Typical High
$151.36
CareSource
Setting
Facility
Modifier
Global
Typical Low
$44.67
Median
$60.26
Typical High
$60.26
CareSource
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$91.20
Typical High
$125.89
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$70.79
Typical High
$70.79
Cigna
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$91.20
Typical High
$416.87
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$562.34
Median
$676.08
Typical High
$1,698.24
Highmark BCBS
Setting
Facility
Modifier
50 · Both sides
Typical Low
$524.81
Median
$524.81
Typical High
$1,122.02
Highmark BCBS
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$109.65
Typical High
$190.55
Highmark BCBS
Setting
Professional
Modifier
50 · Both sides
Typical Low
$158.49
Median
$158.49
Typical High
$158.49
United
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$537.03
Typical High
$977.24
United
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$67.61
Typical High
$120.23

Where West 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.

West Virginia· 33rd 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.