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Dye Injection For Urinary Drainage X-Rays

Tennessee 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 $1,148 · 10th–90th $138$4,0740%5%10th90th$1,148Professionalmedian $112 · 10th–90th $68$2240%5%10%10th90th$112$50.0$200.0$1.0K$5.0K

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
$263.03
Median
$1,778.28
Typical High
$4,073.80
Aetna
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$109.65
Typical High
$208.93
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$64.57
BCBS
Setting
Facility
Modifier
Global
Typical Low
$109.65
Median
$151.36
Typical High
$1,548.82
BCBS
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$128.82
Typical High
$213.80
Cigna
Setting
Facility
Modifier
Global
Typical Low
$72.44
Median
$72.44
Typical High
$114.82
Cigna
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$120.23
Typical High
$213.80
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$4,365.16
Typical High
$4,365.16
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$2,238.72
Median
$2,238.72
Typical High
$3,715.35
United
Setting
Facility
Modifier
Global
Typical Low
$263.03
Median
$758.58
Typical High
$2,089.30
United
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$112.20
Typical High
$218.78