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Dye Injection For Urinary Drainage X-Rays

Vermont 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 October 2026.

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

$132

Typical negotiated rate. In Vermont, October 2026.

Insurers have agreed to pay about $132 for this service. Most negotiated rates run $102 to $200.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Professionalmedian $132 · 10th to 90th $93 to $229
$100$200$500professional $132

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$85.11
Median
$100.00
Typical High
$131.83
BCBS Vermont
Setting
Professional
Modifier
None
Typical Low
$165.96
Median
$165.96
Typical High
$436.52
Cigna
Setting
Professional
Modifier
None
Typical Low
$97.72
Median
$154.88
Typical High
$208.93
MVP Health Care
Setting
Professional
Modifier
None
Typical Low
$67.61
Median
$67.61
Typical High
$269.15
United
Setting
Professional
Modifier
None
Typical Low
$93.33
Median
$144.54
Typical High
$302.00
5 more rates with less common billing modifiers

A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.

Insurance Carrier
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$42.66
Median
$50.12
Typical High
$66.07
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$16.98
Median
$19.95
Typical High
$26.30
Aetna
Setting
Professional
Modifier
54 · Surgery only
Typical Low
$64.57
Median
$75.86
Typical High
$100.00
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$12.88
Median
$15.14
Typical High
$19.95
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$8.51
Median
$10.00
Typical High
$13.18

Where Vermont sits

The same service costs 3.2 times more in Alaska than in Florida. 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.

Vermont· 19th of 51

$132

AK $282FL $87.10

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.