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

Texas 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.

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

$251

Typical negotiated rate. In Texas, July 2026.

Insurers have agreed to pay about $251 for this service. The price depends on where it is billed: about $214 from a physician practice, and about $1,514 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 12 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$214$129 to $275
FacilityA hospital or hospital-owned outpatient department$1,514$372 to $3,388

How much rates vary

Facilitymedian $1,514 · 10th to 90th $155 to $4,571Professionalmedian $214 · 10th to 90th $110 to $380
$100$200$500$1K$2K$5K$10Kfacility $1,514professional $214

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$2,511.89
Typical High
$5,888.44
Aetna
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$204.17
Typical High
$371.54
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$109.65
Typical High
$245.47
BCBS
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$1,862.09
Typical High
$3,548.13
BCBS
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$190.55
Typical High
$363.08
Baylor Scott & White
Setting
Facility
Modifier
Global
Typical Low
$57.54
Median
$741.31
Typical High
$5,011.87
Baylor Scott & White
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$154.88
Typical High
$208.93
Christus
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$660.69
Typical High
$660.69
Cigna
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$181.97
Typical High
$181.97
Cigna
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$245.47
Typical High
$467.74
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$56.23
Typical High
$776.25
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$1,778.28
Median
$2,089.30
Typical High
$2,089.30
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$239.88
Typical High
$467.74
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$281.84
Typical High
$478.63
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$213.80
Providence
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$239.88
Typical High
$467.74
Providence
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$245.47
Typical High
$478.63
United
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$1,380.38
Typical High
$3,388.44
United
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$229.09
Typical High
$446.68
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$234.42
Typical High
$323.59

Where Texas sits

The same service costs 2.2 times more in Wisconsin than in Hawaii. 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.

Texas· 31st of 51

$251

WI $447HI $204

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.