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Dye Injection For Urinary Drainage X-Rays

Washington 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 $186 · 10th–90th $95$5,1290%10%20%10th90th$186Professionalmedian $145 · 10th–90th $76$2880%10%10th90th$145$5.0$20.0$100.0$500.0$2.0K$10.0K

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
$131.83
Median
$309.03
Typical High
$11,220.18
Aetna
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$128.82
Typical High
$309.03
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$223.87
Typical High
$223.87
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$173.78
Typical High
$269.15
Cigna
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$144.54
Typical High
$331.13
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$151.36
Typical High
$263.03
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$151.36
Typical High
$263.03
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$56.23
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$123.03
Median
$194.98
Typical High
$229.09
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$162.18
Median
$162.18
Typical High
$162.18
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$162.18
Typical High
$295.12
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$169.82
Typical High
$269.15
United
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$660.69
Typical High
$5,754.40
United
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$144.54
Typical High
$288.40
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$128.82
Typical High
$169.82