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Small Joint Injection With Ultrasound Guidance

Wyoming 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?

$87.10

Typical physician fee. In Wyoming, July 2026.

Insurers have agreed to pay about $87.10 for this service. Most negotiated rates run $79.43 to $158.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $316 · 10th to 90th $295 to $3,236Professionalmedian $87 · 10th to 90th $46 to $331
$50$100$200$500$1K$2Kfacility $316professional $87

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$83.18
Typical High
$331.13
Aetna
Setting
Professional
Modifier
50 · Both sides
Typical Low
$66.07
Median
$89.13
Typical High
$213.80
BCBS
Setting
Facility
Modifier
Global
Typical Low
$316.23
Median
$316.23
Typical High
$316.23
BCBS
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$158.49
Typical High
$239.88
BCBS
Setting
Professional
Modifier
50 · Both sides
Typical Low
$131.83
Median
$234.42
Typical High
$363.08
Cigna
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$102.33
Typical High
$177.83
United
Setting
Facility
Modifier
Global
Typical Low
$295.12
Median
$295.12
Typical High
$3,235.94
United
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$97.72
Typical High
$234.42

Where Wyoming 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.

Wyoming· 24th of 51

$87.10

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.