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Mid-Back Myelogram X-Ray of the Spinal Canal

Wisconsin 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?

$2,089

Typical facility fee. In Wisconsin, July 2026.

Insurers have agreed to pay about $2,089 for this service. Most negotiated rates run $355 to $3,090.

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 10 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $2,818 · 10th to 90th $245 to $5,370Professionalmedian $380 · 10th to 90th $200 to $851
$100$200$500$1K$2K$5Kfacility $2,818professional $380

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
$109.65
Median
$933.25
Typical High
$3,019.95
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,187.76
Median
$3,090.30
Typical High
$5,754.40
Cigna
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$794.33
Typical High
$1,258.93
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$269.15
Typical High
$3,311.31
Medica
Setting
Facility
Modifier
Global
Typical Low
$114.82
Median
$288.40
Typical High
$3,630.78
Network Health
Setting
Facility
Modifier
Global
Typical Low
$1,819.70
Median
$3,019.95
Typical High
$3,235.94
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$109.65
Median
$234.42
Typical High
$446.68
Quartz
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$380.19
Typical High
$851.14
Quartz
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$794.33
Typical High
$794.33
Security Health
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$416.87
Typical High
$954.99
United
Setting
Facility
Modifier
Global
Typical Low
$1,949.84
Median
$2,818.38
Typical High
$4,365.16

Where Wisconsin 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.

Wisconsin· 17th of 49

$2,089

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.