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

Massachusetts 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 $1,047 · 10th–90th $132$3,7150%10%10th90th$1,047Professionalmedian $257 · 10th–90th $120$6170%10%10th90th$257$50.0$200.0$1.0K$5.0K$20.0K

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
$263.03
Median
$2,187.76
Typical High
$3,715.35
Aetna
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$213.80
Typical High
$371.54
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$1,148.15
Typical High
$3,801.89
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$269.15
Typical High
$741.31
BCBS
Setting
Facility
Modifier
Global
Typical Low
$131.83
Median
$131.83
Typical High
$309.03
BCBS
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$398.11
Typical High
$691.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$275.42
Typical High
$630.96
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$104.71
Median
$151.36
Typical High
$3,311.31
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$354.81
Typical High
$562.34
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$1,288.25
Median
$2,511.89
Typical High
$7,079.46
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$288.40
Typical High
$630.96
Health New England
Setting
Facility
Modifier
Global
Typical Low
$2,570.40
Median
$2,570.40
Typical High
$3,890.45
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$1,148.15
Typical High
$3,801.89
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$269.15
Typical High
$741.31
United
Setting
Facility
Modifier
Global
Typical Low
$794.33
Median
$2,089.30
Typical High
$5,623.41
United
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$302.00
Typical High
$645.65