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

Tennessee 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 $245$2,8180%5%10%10th90th$1,047Professionalmedian $234 · 10th–90th $112$4570%10%10th90th$234$20.0$100.0$500.0$2.0K$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
$245.47
Median
$954.99
Typical High
$2,818.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$229.09
Typical High
$407.38
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$120.23
Typical High
$338.84
BCBS
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$1,479.11
Typical High
$2,089.30
BCBS
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$275.42
Typical High
$501.19
Cigna
Setting
Facility
Modifier
Global
Typical Low
$281.84
Median
$281.84
Typical High
$3,890.45
Cigna
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$239.88
Typical High
$436.52
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$776.25
Typical High
$776.25
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$1,778.28
Median
$2,089.30
Typical High
$2,089.30
United
Setting
Facility
Modifier
Global
Typical Low
$691.83
Median
$1,348.96
Typical High
$2,630.27
United
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$245.47
Typical High
$457.09