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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 July 2026.

Professionalmedian $120 · 10th–90th $85$1410%10%20%10th90th$120$100.0$200.0$500.0

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
Professional
Modifier
Global
Typical Low
$85.11
Median
$102.33
Typical High
$138.04
BCBS
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$165.96
Typical High
$436.52
Cigna
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$158.49
Typical High
$245.47
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$138.04
Typical High
$269.15
United
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$144.54
Typical High
$302.00