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Dye Injection For Urinary Drainage X-Rays

South Dakota 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 $158 · 10th–90th $81$2,2910%5%10%10th90th$158Professionalmedian $148 · 10th–90th $68$2820%10%10th90th$148$100.0$200.0$500.0$1.0K$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
$70.79
Median
$2,290.87
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$104.71
Typical High
$275.42
Avera
Setting
Facility
Modifier
Global
Typical Low
$69.18
Median
$81.28
Typical High
$141.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$204.17
Typical High
$346.74
Medica
Setting
Facility
Modifier
Global
Typical Low
$93.33
Median
$158.49
Typical High
$295.12
Medica
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$194.98
Typical High
$1,071.52
Midlands
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$199.53
Typical High
$295.12
Midlands
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$141.25
Typical High
$199.53
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$147.91
Typical High
$229.09
United
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$812.83
Typical High
$812.83
United
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$151.36
Typical High
$275.42
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$151.36
Typical High
$288.40