go back

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

Georgia 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 $3,090 · 10th–90th $794$7,0790%5%10%10th90th$3,090Professionalmedian $229 · 10th–90th $115$5130%5%10th90th$229$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
$1,174.90
Median
$3,548.13
Typical High
$7,585.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$245.47
Typical High
$616.60
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$173.78
Typical High
$338.84
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$794.33
Median
$2,511.89
Typical High
$4,168.69
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$204.17
Typical High
$288.40
Cigna
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$269.15
Typical High
$549.54
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$281.84
Typical High
$933.25
United
Setting
Facility
Modifier
Global
Typical Low
$426.58
Median
$1,949.84
Typical High
$3,311.31
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$257.04
Typical High
$467.74