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Mid-Back Myelogram X-Ray of the Spinal Canal

Hawaii rates for HCPCS 62303

Contrast dye is injected through a needle in the lower back into the fluid-filled space around the spinal cord, and x-ray images are then taken of the mid-back portion of the spine. The dye outlines the spinal cord and the nerve roots so pressure on them from a disc, bone spur, or narrowing shows up clearly. The images are interpreted and reported as part of the service.

Rates data updated October 2026.

How much does Mid-Back Myelogram X-Ray of the Spinal Canal cost?

$324

Typical negotiated rate. In Hawaii, October 2026.

Insurers have agreed to pay about $324 for this service. Most negotiated rates run $158 to $347.

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.

How much rates vary

Facilitymedian $2,884 · 10th to 90th $1,000 to $2,884Professionalmedian $324 · 10th to 90th $107 to $407
$50$100$200$500$1K$2Kfacility $2,884professional $324

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$1,000.00
Median
$2,884.03
Typical High
$2,884.03
Aetna
Setting
Professional
Modifier
None
Typical Low
$107.15
Median
$138.04
Typical High
$288.40
Cigna
Setting
Professional
Modifier
None
Typical Low
$173.78
Median
$331.13
Typical High
$331.13
HMSA
Setting
Professional
Modifier
None
Typical Low
$239.88
Median
$407.38
Typical High
$446.68
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$112.20
Median
$269.15
Typical High
$338.84
United
Setting
Facility
Modifier
None
Typical Low
$1,148.15
Median
$1,148.15
Typical High
$1,148.15
United
Setting
Professional
Modifier
None
Typical Low
$194.98
Median
$331.13
Typical High
$331.13
University Health Alliance
Setting
Professional
Modifier
None
Typical Low
$47.86
Median
$158.49
Typical High
$380.19
1 more rate with less common billing modifiers

A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.

Insurance Carrier
HMSA
Setting
Professional
Modifier
51 · Multiple procedures
Typical Low
$131.83
Median
$218.78
Typical High
$218.78

Where Hawaii sits

The same service costs 3.4 times more in Alaska than in Virginia. 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.

Hawaii· 11th of 51

$324

AK $525VA $155

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.