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Mid-Back Myelogram X-Ray of the Spinal Canal

New Hampshire 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 July 2026.

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

$1,820

Typical facility fee. In New Hampshire, July 2026.

Insurers have agreed to pay about $1,820 for this service. Most negotiated rates run $1,413 to $8,913.

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 $1,820 · 10th to 90th $1,000 to $9,772
$100$200$500$1K$2K$5K$10Kfacility $1,820

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
$100.00
Median
$8,912.51
Typical High
$9,772.37
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,288.25
Median
$1,412.54
Typical High
$2,630.27
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,570.40
Median
$2,570.40
Typical High
$2,570.40
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$3,630.78
Median
$3,630.78
Typical High
$7,943.28
United
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$3,630.78
Typical High
$7,943.28
Well Sense
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$83.18
Typical High
$91.20

Where New Hampshire sits

The same service costs 20.0 times more in New Jersey than in North Dakota. 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.

New Hampshire· 20th of 49

$1,820

NJ $5,370ND $269

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.