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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.

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

$148

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $148 for this service. The price depends on where it is billed: about $148 from a physician practice, and about $158 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 8 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$148$105 to $204
FacilityA hospital or hospital-owned outpatient department$158$112 to $257

How much rates vary

Facilitymedian $158 · 10th to 90th $81 to $2,291Professionalmedian $148 · 10th to 90th $68 to $282
$100$200$500$1K$2Kfacility $158professional $148

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
$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

Where South Dakota 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.

South Dakota· 11th of 51

$148

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.