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Dye Injection For Urinary Drainage X-Rays

Wisconsin 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 $355 · 10th–90th $71$1,9050%5%10%10th90th$355Professionalmedian $162 · 10th–90th $71$4570%10%10th90th$162$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
$70.79
Median
$245.47
Typical High
$1,905.46
Aetna
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$123.03
Typical High
$323.59
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,174.90
Median
$1,584.89
Typical High
$1,584.89
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$194.98
Typical High
$478.63
Cigna
Setting
Facility
Modifier
Global
Typical Low
$316.23
Median
$371.54
Typical High
$588.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$223.87
Typical High
$436.52
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$69.18
Median
$138.04
Typical High
$3,162.28
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$218.78
Typical High
$323.59
Medica
Setting
Facility
Modifier
Global
Typical Low
$69.18
Median
$138.04
Typical High
$1,513.56
Medica
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$323.59
Typical High
$3,548.13
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$112.20
Network Health
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$891.25
Typical High
$2,344.23
Network Health
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$223.87
Typical High
$354.81
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$117.49
Typical High
$354.81
Quartz
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$213.80
Typical High
$398.11
Quartz
Setting
Facility
Modifier
Global
Typical Low
$426.58
Median
$4,365.16
Typical High
$4,365.16
Quartz
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$389.05
Typical High
$3,715.35
Security Health
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$354.81
Typical High
$630.96
Security Health
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$478.63
Typical High
$707.95
United
Setting
Facility
Modifier
Global
Typical Low
$977.24
Median
$1,513.56
Typical High
$1,949.84
United
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$162.18
Typical High
$436.52