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

Montana 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 October 2026.

How much does Myelogram Of The Lower Back, Injection And X-ray Imaging cost?

$251

Typical negotiated rate. In Montana, October 2026.

Insurers have agreed to pay about $251 for this service. The price depends on where it is billed: about $251 from a physician practice, and about $204 from a hospital or other facility.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$251$182 to $398
FacilityA hospital or hospital-owned outpatient department$204$174 to $417

How much rates vary

Facilitymedian $204 · 10th to 90th $174 to $447Professionalmedian $251 · 10th to 90th $112 to $417
$100$200$500facility $204professional $251

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$107.15
Median
$239.88
Typical High
$630.96
BCBS Montana
Setting
Professional
Modifier
None
Typical Low
$181.97
Median
$181.97
Typical High
$398.11
Cigna
Setting
Facility
Modifier
None
Typical Low
$181.97
Median
$181.97
Typical High
$181.97
Cigna
Setting
Professional
Modifier
None
Typical Low
$181.97
Median
$323.59
Typical High
$398.11
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$173.78
Median
$218.78
Typical High
$446.68
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$112.20
Median
$186.21
Typical High
$446.68
Providence
Setting
Facility
Modifier
None
Typical Low
$181.97
Median
$181.97
Typical High
$181.97
Providence
Setting
Professional
Modifier
None
Typical Low
$112.20
Median
$245.47
Typical High
$416.87
United
Setting
Professional
Modifier
None
Typical Low
$190.55
Median
$288.40
Typical High
$457.09

Where Montana sits

The same service costs 3.4 times more in Alaska than in Virginia. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Montana· 23rd of 51

$251

AK $513VA $151

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.