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Mid-Back Myelogram X-Ray of the Spinal Canal

Maryland 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?

$162

Typical negotiated rate. In Maryland, October 2026.

Insurers have agreed to pay about $162 for this service. Most negotiated rates run $115 to $275.

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

Professionalmedian $162 · 10th to 90th $110 to $380
$100$200$500professional $162

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$114.82
Median
$239.88
Typical High
$275.42
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$57.54
Median
$117.49
Typical High
$138.04
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$22.91
Median
$46.77
Typical High
$54.95
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$16.98
Median
$34.67
Typical High
$41.69
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$11.48
Median
$23.44
Typical High
$27.54
CareFirst
Setting
Professional
Modifier
None
Typical Low
$112.20
Median
$125.89
Typical High
$125.89
Cigna
Setting
Professional
Modifier
None
Typical Low
$107.15
Median
$223.87
Typical High
$426.58
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$251.19
Median
$295.12
Typical High
$398.11
United
Setting
Professional
Modifier
None
Typical Low
$112.20
Median
$251.19
Typical High
$537.03
Wellpoint
Setting
Professional
Modifier
None
Typical Low
$107.15
Median
$107.15
Typical High
$407.38
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
Aetna
Setting
Professional
Modifier
54 · Surgery only
Typical Low
$85.11
Median
$173.78
Typical High
$208.93

Where Maryland 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.

Maryland· 49th of 51

$162

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.