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Dye Injection For Urinary Drainage X-Rays

Montana 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?

$126

Typical negotiated rate. In Montana, October 2026.

Insurers have agreed to pay about $126 for this service. The price depends on where it is billed: about $126 from a physician practice, and about $135 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$126$110 to $186
FacilityA hospital or hospital-owned outpatient department$135$107 to $204

How much rates vary

Facilitymedian $135 · 10th to 90th $107 to $219Professionalmedian $126 · 10th to 90th $79 to $191
$100$200facility $135professional $126

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
Professional
Modifier
None
Typical Low
$66.07
Median
$102.33
Typical High
$323.59
BCBS Montana
Setting
Professional
Modifier
None
Typical Low
$109.65
Median
$109.65
Typical High
$186.21
Cigna
Setting
Facility
Modifier
None
Typical Low
$109.65
Median
$109.65
Typical High
$426.58
Cigna
Setting
Professional
Modifier
None
Typical Low
$109.65
Median
$131.83
Typical High
$186.21
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$107.15
Median
$134.90
Typical High
$218.78
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$69.18
Median
$112.20
Typical High
$213.80
Providence
Setting
Facility
Modifier
None
Typical Low
$109.65
Median
$109.65
Typical High
$426.58
Providence
Setting
Professional
Modifier
None
Typical Low
$70.79
Median
$114.82
Typical High
$190.55
United
Setting
Professional
Modifier
None
Typical Low
$109.65
Median
$141.25
Typical High
$194.98

Where Montana 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.

Montana· 24th of 51

$126

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.