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Mid-Back Myelogram X-Ray of the Spinal Canal

New Jersey 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 New Jersey, October 2026.

Insurers have agreed to pay about $257 for this service. The price depends on where it is billed: about $245 from a physician practice, and about $3,631 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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$245$138 to $316
FacilityA hospital or hospital-owned outpatient department$3,631$1,778 to $5,495

How much rates vary

Facilitymedian $3,631 · 10th to 90th $263 to $8,511Professionalmedian $245 · 10th to 90th $123 to $457
$100$200$500$1K$2K$5K$10Kfacility $3,631professional $245

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
Facility
Modifier
None
Typical Low
$128.82
Median
$4,365.16
Typical High
$10,471.29
Aetna
Setting
Professional
Modifier
None
Typical Low
$128.82
Median
$218.78
Typical High
$288.40
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$64.57
Median
$104.71
Typical High
$144.54
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$26.30
Median
$42.66
Typical High
$57.54
Aetna
Setting
Professional
Modifier
54 · Surgery only
Typical Low
$97.72
Median
$158.49
Typical High
$213.80
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$19.50
Median
$31.62
Typical High
$42.66
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$12.88
Median
$21.38
Typical High
$28.84
Cigna
Setting
Professional
Modifier
None
Typical Low
$141.25
Median
$251.19
Typical High
$457.09
Emblem Health
Setting
Professional
Modifier
None
Typical Low
$295.12
Median
$407.38
Typical High
$416.87
Horizon BCBS
Setting
Facility
Modifier
None
Typical Low
$1,737.80
Median
$2,630.27
Typical High
$3,630.78
Horizon BCBS
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$309.03
Typical High
$562.34
United
Setting
Facility
Modifier
None
Typical Low
$1,513.56
Median
$3,630.78
Typical High
$6,165.95
United
Setting
Professional
Modifier
None
Typical Low
$112.20
Median
$234.42
Typical High
$524.81

Where New Jersey 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.

New Jersey· 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.