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

Minnesota 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 $214$2,8840%5%10%10th90th$1,047Professionalmedian $355 · 10th–90th $138$8320%5%10th90th$355$50.0$100.0$200.0$500.0$1.0K$2.0K$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
$114.82
Median
$263.03
Typical High
$2,137.96
Aetna
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$213.80
Typical High
$371.54
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,047.13
Median
$1,949.84
Typical High
$5,623.41
BCBS
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$416.87
Typical High
$870.96
Cigna
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$912.01
Typical High
$2,454.71
Cigna
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$398.11
Typical High
$933.25
Health Partners
Setting
Facility
Modifier
Global
Typical Low
$691.83
Median
$1,000.00
Typical High
$1,949.84
Health Partners
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$457.09
Typical High
$870.96
Medica
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$302.00
Typical High
$776.25
Medica
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$501.19
Typical High
$1,862.09
United
Setting
Facility
Modifier
Global
Typical Low
$1,174.90
Median
$2,238.72
Typical High
$5,370.32
United
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$575.44
Typical High
$1,000.00