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Dye Injection For Urinary Drainage X-Rays

South Carolina 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 $166 · 10th–90th $85$9,7720%5%10%10th90th$166Professionalmedian $110 · 10th–90th $68$1620%10%10th90th$110$50.0$200.0$1.0K$5.0K$20.0K

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
$85.11
Median
$5,623.41
Typical High
$21,877.62
Aetna
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$109.65
Typical High
$158.49
BCBS
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$100.00
Typical High
$162.18
Cigna
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$371.54
Typical High
$371.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$123.03
Typical High
$234.42
Medcost
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$186.21
Typical High
$186.21
Medcost
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$134.90
Typical High
$288.40
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$380.19
Median
$1,174.90
Typical High
$4,677.35
United
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$112.20
Typical High
$218.78