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Placement of a Tunneled Abdominal Catheter

North Dakota rates for HCPCS 49418

In this procedure, a doctor places a flexible tube through the skin into the abdominal cavity, tunneling it under the skin for stability, so fluids like dialysis solution or chemotherapy medication can be delivered directly into that space. Imaging guidance is used throughout to help place the catheter safely and confirm it is positioned correctly.

Rates data updated October 2026.

How much does Placement of a Tunneled Abdominal Catheter cost?

$2,461

Typical total for the visit. In North Dakota, October 2026.

Insurers have agreed to pay about $2,461 for this procedure. That total is two separate charges: $1,230 to the doctor who performs it, and $1,230 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

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.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$1,230$372 to $2,089
Facility feeThe hospital or surgery center$1,230$204 to $2,692

How much rates vary

Facilitymedian $1,230 · 10th to 90th $204 to $3,236Professionalmedian $1,230 · 10th to 90th $257 to $2,512
$100$200$500$1K$2K$5K$10Kfacility $1,230professional $1,230

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
Facility
Modifier
None
Typical Low
$204.17
Median
$1,230.27
Typical High
$4,897.79
Aetna
Setting
Facility
Modifier
54 · Surgery only
Typical Low
$154.88
Median
$154.88
Typical High
$912.01
Aetna
Setting
Professional
Modifier
None
Typical Low
$204.17
Median
$933.25
Typical High
$1,778.28
Aetna
Setting
Professional
Modifier
54 · Surgery only
Typical Low
$151.36
Median
$691.83
Typical High
$912.01
BCBS North Dakota
Setting
Professional
Modifier
None
Typical Low
$346.74
Median
$562.34
Typical High
$2,290.87
BCBS North Dakota
Setting
Professional
Modifier
22 · Increased work
Typical Low
$416.87
Median
$676.08
Typical High
$2,754.23
BCBS North Dakota
Setting
Professional
Modifier
54 · Surgery only
Typical Low
$245.47
Median
$389.05
Typical High
$1,584.89
BCBS North Dakota
Setting
Professional
Modifier
78 · Unplanned return to OR
Typical Low
$263.03
Median
$416.87
Typical High
$1,698.24
Cigna
Setting
Facility
Modifier
None
Typical Low
$1,659.59
Median
$1,659.59
Typical High
$1,905.46
Cigna
Setting
Professional
Modifier
None
Typical Low
$275.42
Median
$1,023.29
Typical High
$2,630.27
Medica
Setting
Facility
Modifier
None
Typical Low
$204.17
Median
$1,230.27
Typical High
$3,235.94
Medica
Setting
Professional
Modifier
None
Typical Low
$1,230.27
Median
$2,511.89
Typical High
$7,413.10
United
Setting
Facility
Modifier
None
Typical Low
$1,995.26
Median
$3,019.95
Typical High
$3,235.94
United
Setting
Professional
Modifier
None
Typical Low
$213.80
Median
$660.69
Typical High
$2,570.40

Where North Dakota sits

The same service costs 3.5 times more in Colorado than in Montana. 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.

Physician feeFacility fee

North Dakota· 44th of 51

$2,461

$1,230 physician + $1,230 facility

CO $7,057MT $2,039

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.