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X-Ray Study Through An Existing Ureteral Tube

New Hampshire rates for HCPCS 50684

An X-ray imaging study of the ureter, the tube connecting the kidney to the bladder, performed by injecting contrast dye through a tube or catheter that is already in place in the ureter rather than a tube placed directly into the kidney. It is used to check for blockage, leakage, or narrowing after the tube has been placed. This differs from an initial placement of the tube itself, since the tube is already there.

Rates data updated July 2026.

How much does X-Ray Study Through An Existing Ureteral Tube cost?

$129

Typical negotiated rate. In New Hampshire, July 2026.

Insurers have agreed to pay about $129 for this service. The price depends on where it is billed: about $126 from a physician practice, and about $724 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 6 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$126$77.62 to $214
FacilityA hospital or hospital-owned outpatient department$724$200 to $8,913

How much rates vary

Facilitymedian $724 · 10th to 90th $100 to $9,772Professionalmedian $126 · 10th to 90th $55 to $288
$20.0$100.0$500.0$2.0K$10.0Kfacility $724professional $126

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
$199.53
Median
$724.44
Typical High
$9,772.37
Aetna
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$117.49
Typical High
$218.78
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$125.89
Typical High
$275.42
Cigna
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$128.82
Typical High
$346.74
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$3,388.44
Median
$3,388.44
Typical High
$7,413.10
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$141.25
Typical High
$302.00
United
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$3,388.44
Typical High
$7,413.10
United
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$147.91
Typical High
$331.13
Well Sense
Setting
Facility
Modifier
Global
Typical Low
$11.22
Median
$11.22
Typical High
$12.02
Well Sense
Setting
Facility
Modifier
50 · Both sides
Typical Low
$165.96
Median
$165.96
Typical High
$165.96

Where New Hampshire sits

The same service costs 2.1 times more in California than in Hawaii. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

New Hampshire $129 · 18th of 51
CA $204HI $95.50

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.