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

Illinois 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 $1,175 · 10th–90th $224$4,8980%5%10th90th$1,175Professionalmedian $229 · 10th–90th $115$4680%5%10th90th$229$50.0$200.0$1.0K$5.0K

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
$223.87
Median
$1,174.90
Typical High
$5,128.61
Aetna
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$218.78
Typical High
$467.74
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
BCBS
Setting
Facility
Modifier
Global
Typical Low
$346.74
Median
$933.25
Typical High
$1,698.24
BCBS
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$263.03
Typical High
$436.52
Cigna
Setting
Facility
Modifier
Global
Typical Low
$218.78
Median
$218.78
Typical High
$218.78
Cigna
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$245.47
Typical High
$457.09
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$426.58
Typical High
$954.99
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$144.54
Typical High
$323.59
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$1,348.96
Typical High
$3,467.37
United
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$234.42
Typical High
$549.54