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Dye Injection For Urinary Drainage X-Rays

Utah 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 $3,162 · 10th–90th $98$4,5710%10%10th90th$3,162Professionalmedian $112 · 10th–90th $69$2690%5%10%10th90th$112$50.0$100.0$200.0$500.0$1.0K$2.0K$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
$97.72
Median
$3,162.28
Typical High
$4,570.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$107.15
Typical High
$323.59
Cigna
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$123.03
Typical High
$218.78
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$190.55
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$144.54
Typical High
$204.17
Select Health
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$229.09
Typical High
$229.09
Select Health
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$112.20
Typical High
$131.83
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$151.36
Typical High
$229.09
United
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$4,466.84
Typical High
$5,128.61
United
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$104.71
Typical High
$177.83