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Mid-Back Myelogram X-Ray of the Spinal Canal

Montana 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?

$257

Typical negotiated rate. In Montana, October 2026.

Insurers have agreed to pay about $257 for this service. The price depends on where it is billed: about $257 from a physician practice, and about $204 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$257$186 to $407
FacilityA hospital or hospital-owned outpatient department$204$178 to $427

How much rates vary

Facilitymedian $204 · 10th to 90th $174 to $457Professionalmedian $257 · 10th to 90th $112 to $437
$100$200$500facility $204professional $257

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
$109.65
Median
$245.47
Typical High
$660.69
BCBS
Setting
Professional
Modifier
None
Typical Low
$186.21
Median
$186.21
Typical High
$407.38
Cigna
Setting
Facility
Modifier
None
Typical Low
$186.21
Median
$186.21
Typical High
$186.21
Cigna
Setting
Professional
Modifier
None
Typical Low
$186.21
Median
$323.59
Typical High
$416.87
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$173.78
Median
$218.78
Typical High
$457.09
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$112.20
Median
$186.21
Typical High
$457.09
Providence
Setting
Facility
Modifier
None
Typical Low
$186.21
Median
$186.21
Typical High
$186.21
Providence
Setting
Professional
Modifier
None
Typical Low
$112.20
Median
$245.47
Typical High
$426.58
United
Setting
Professional
Modifier
None
Typical Low
$190.55
Median
$302.00
Typical High
$478.63

Where Montana 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.

Montana· 23rd of 51

$257

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.