go back

Dye Injection For Urinary Drainage X-Rays

New Hampshire 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.

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

$138

Typical negotiated rate. In New Hampshire, July 2026.

Insurers have agreed to pay about $138 for this service. The price depends on where it is billed: about $138 from a physician practice, and about $398 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$138$102 to $195
FacilityA hospital or hospital-owned outpatient department$398$282 to $8,913

How much rates vary

Facilitymedian $398 · 10th to 90th $102 to $9,772Professionalmedian $138 · 10th to 90th $74 to $269
$50$200$1K$5Kfacility $398professional $138

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$194.98
Median
$398.11
Typical High
$9,772.37
Aetna
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$102.33
Typical High
$141.25
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$147.91
Typical High
$263.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$154.88
Typical High
$295.12
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$3,388.44
Median
$3,388.44
Typical High
$7,413.10
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$144.54
Typical High
$275.42
United
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$3,388.44
Typical High
$7,413.10
United
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$151.36
Typical High
$309.03
Well Sense
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$34.67
Typical High
$37.15

Where New Hampshire sits

The same service costs 2.1 times more in Alaska than in Hawaii. 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.

New Hampshire· 13th of 51

$138

AK $191HI $89.13

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.