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Mid-Back Myelogram X-Ray of the Spinal Canal

Tennessee 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 $1,445 · 10th–90th $468$3,2360%5%10%10th90th$1,445$100.0$200.0$500.0$1.0K$2.0K$5.0K$10.0K

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
$467.74
Median
$1,778.28
Typical High
$4,073.80
BCBS
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$1,479.11
Typical High
$2,089.30
Cigna
Setting
Facility
Modifier
Global
Typical Low
$288.40
Median
$288.40
Typical High
$3,890.45
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$794.33
Typical High
$794.33
United
Setting
Facility
Modifier
Global
Typical Low
$691.83
Median
$1,348.96
Typical High
$2,630.27