go back

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.

Facilitymedian $1,514 · 10th–90th $155$4,5710%5%10th90th$1,514Professionalmedian $214 · 10th–90th $110$3800%10%10th90th$214$50.0$200.0$1.0K$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
$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