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Dye Injection For Urinary Drainage X-Rays

Indiana 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 $355 · 10th–90th $83$5,6230%5%10%10th90th$355Professionalmedian $110 · 10th–90th $66$1820%10%10th90th$110$50.0$100.0$200.0$500.0$1.0K$2.0K$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
$83.18
Median
$537.03
Typical High
$5,623.41
Aetna
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$102.33
Typical High
$141.25
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$87.10
Typical High
$87.10
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$114.82
Median
$114.82
Typical High
$223.87
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$138.04
Typical High
$269.15
CareSource
Setting
Facility
Modifier
Global
Typical Low
$67.61
Median
$70.79
Typical High
$79.43
Cigna
Setting
Facility
Modifier
Global
Typical Low
$72.44
Median
$107.15
Typical High
$478.63
Cigna
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$120.23
Typical High
$331.13
United
Setting
Facility
Modifier
Global
Typical Low
$549.54
Median
$2,238.72
Typical High
$7,413.10
United
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$104.71
Typical High
$186.21