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Dye Injection For Urinary Drainage X-Rays

Michigan 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 $2,042 · 10th–90th $126$4,8980%20%10th90th$2,042Professionalmedian $102 · 10th–90th $68$1580%10%10th90th$102$20.0$100.0$500.0$2.0K

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
$147.91
Median
$2,041.74
Typical High
$4,897.79
Aetna
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$97.72
Typical High
$158.49
BCBS
Setting
Facility
Modifier
Global
Typical Low
$19.05
Median
$60.26
Typical High
$60.26
BCBS
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$144.54
Typical High
$144.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$114.82
Typical High
$302.00
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$104.71
Median
$2,041.74
Typical High
$4,897.79
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$117.49
Typical High
$173.78
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$114.82
Typical High
$389.05
United
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$1,202.26
Typical High
$2,454.71
United
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$112.20
Typical High
$194.98