go back

Mid-Back Myelogram X-Ray of the Spinal Canal

South Dakota 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.

Facilitymedian $339 · 10th–90th $158$2,2910%5%10%10th90th$339Professionalmedian $355 · 10th–90th $195$4900%10%10th90th$355$100.0$200.0$500.0$1.0K$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$123.03
Median
$2,290.87
Typical High
$4,365.16
Avera
Setting
Facility
Modifier
Global
Typical Low
$234.42
Median
$234.42
Typical High
$234.42
Medica
Setting
Facility
Modifier
Global
Typical Low
$158.49
Median
$309.03
Typical High
$549.54
Midlands
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$457.09
Typical High
$630.96
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$354.81
Typical High
$489.78
United
Setting
Facility
Modifier
Global
Typical Low
$1,659.59
Median
$1,659.59
Typical High
$1,659.59