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Myelogram Of The Lower Back, Injection And X-ray Imaging

Nationwide rates for HCPCS 62304

A dye study of the lower back and tailbone portion of the spine. Contrast dye is injected through a needle into the fluid-filled space around the spinal cord and nerve roots, and x-ray images are then taken and interpreted. The injection and the imaging are both part of this service.

Rates data updated July 2026.

Facilitymedian $2,089 · 10th–90th $191$7,5860%5%10th90th$2,089Professionalmedian $240 · 10th–90th $112$5890%10%10th90th$240$1.0$10.0$100.0$1.0K$10.0K$100.0K$1.0M

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
$223.87
Median
$2,137.96
Typical High
$7,762.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$218.78
Typical High
$489.78
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,659.59
Median
$4,365.16
Typical High
$10,000.00
BCBS
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$199.53
Typical High
$467.74
Cigna
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$660.69
Typical High
$2,089.30
Cigna
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$263.03
Typical High
$562.34
United
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$1,778.28
Typical High
$4,466.84
United
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$263.03
Typical High
$602.56