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Dye Injection For Urinary Drainage X-Rays

Illinois rates for HCPCS 50690

Contrast dye is injected so that X-ray pictures can show the ureters and the collecting systems of the kidneys, or a urinary channel built from a segment of bowel, and how urine drains through them. It is used to look for a leak, narrowing, blockage or backflow toward the kidneys. This covers the dye injection that makes the images possible; reading the X-rays is a separate service.

Rates data updated July 2026.

Facilitymedian $1,148 · 10th–90th $117$5,6230%5%10%10th90th$1,148Professionalmedian $120 · 10th–90th $69$2340%10%10th90th$120$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
$117.49
Median
$1,202.26
Typical High
$5,623.41
Aetna
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$109.65
Typical High
$199.53
BCBS
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$1,096.48
Typical High
$2,089.30
BCBS
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$131.83
Typical High
$234.42
Cigna
Setting
Facility
Modifier
Global
Typical Low
$123.03
Median
$123.03
Typical High
$123.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$123.03
Typical High
$218.78
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$208.93
Typical High
$501.19
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$87.10
Typical High
$154.88
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$776.25
Typical High
$2,290.87
United
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$117.49
Typical High
$218.78