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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 October 2026.

How much does Dye Injection For Urinary Drainage X-Rays cost?

$100

Typical negotiated rate. In Michigan, October 2026.

Insurers have agreed to pay about $100 for this service. The price depends on where it is billed: about $97.72 from a physician practice, and about $550 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$97.72$87.10 to $138
FacilityA hospital or hospital-owned outpatient department$550$457 to $933

How much rates vary

Facilitymedian $550 · 10th to 90th $148 to $2,042Professionalmedian $98 · 10th to 90th $59 to $148
$20$100$500$2Kfacility $550professional $98

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$91.20
Median
$151.36
Typical High
$4,897.79
Aetna
Setting
Professional
Modifier
None
Typical Low
$85.11
Median
$102.33
Typical High
$151.36
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$45.71
Median
$52.48
Typical High
$75.86
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$18.20
Median
$20.89
Typical High
$30.20
Aetna
Setting
Professional
Modifier
54 · Surgery only
Typical Low
$69.18
Median
$79.43
Typical High
$112.20
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$13.80
Median
$15.85
Typical High
$22.91
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$9.12
Median
$10.47
Typical High
$15.14
BCBS Michigan
Setting
Facility
Modifier
None
Typical Low
$467.74
Median
$549.54
Typical High
$758.58
BCBS Michigan
Setting
Professional
Modifier
None
Typical Low
$19.05
Median
$91.20
Typical High
$144.54
Cigna
Setting
Professional
Modifier
None
Typical Low
$67.61
Median
$109.65
Typical High
$245.47
Health Alliance Plan
Setting
Facility
Modifier
None
Typical Low
$104.71
Median
$281.84
Typical High
$4,897.79
Health Alliance Plan
Setting
Professional
Modifier
None
Typical Low
$87.10
Median
$112.20
Typical High
$147.91
Health Alliance Plan
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$43.65
Median
$45.71
Typical High
$74.13
Health Alliance Plan
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$17.78
Median
$18.20
Typical High
$29.51
Health Alliance Plan
Setting
Professional
Modifier
54 · Surgery only
Typical Low
$66.07
Median
$67.61
Typical High
$112.20
Health Alliance Plan
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$13.18
Median
$13.49
Typical High
$22.39
Health Alliance Plan
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$8.71
Median
$9.12
Typical High
$14.79
Priority Health
Setting
Professional
Modifier
None
Typical Low
$67.61
Median
$104.71
Typical High
$213.80
United
Setting
Facility
Modifier
None
Typical Low
$302.00
Median
$1,288.25
Typical High
$2,089.30
United
Setting
Professional
Modifier
None
Typical Low
$81.28
Median
$112.20
Typical High
$144.54

Where Michigan sits

The same service costs 3.2 times more in Alaska than in Florida. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Michigan· 45th of 51

$100

AK $282FL $87.10

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.