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Dye Injection For Urinary Drainage X-Rays

Maine 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.

Professionalmedian $120 · 10th–90th $74$2450%5%10%10th90th$120$50.0$100.0$200.0$500.0$1.0K

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
Professional
Modifier
Global
Typical Low
$70.79
Median
$100.00
Typical High
$138.04
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$120.23
Typical High
$223.87
Cigna
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$141.25
Typical High
$338.84
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$147.91
Typical High
$309.03
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$100.00
Typical High
$141.25
United
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$131.83
Typical High
$257.04