Surgical Placement of Abdominal Dialysis Tube

Nationwide rates for HCPCS 49421

Places a soft tunneled tube into the abdominal cavity so dialysis fluid can be run in and drained out, usually at home. Through a small incision the surgeon positions the inner end low in the abdomen and tunnels the outer end under the skin to an exit site, which helps keep infection out. The tube stays in place long term.

Rates data updated July 2026.

How much does Surgical Placement of Abdominal Dialysis Tube cost?

$513

Typical negotiated rate. Nationwide, July 2026.

Insurers have agreed to pay about $513 for this service. The price depends on where it is billed: about $316 from a physician practice, and about $603 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 54 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed by	Who charges it	Typical	Range
Physician practiceA doctor's office, clinic or independent provider	A doctor's office, clinic or independent provider	$316	$229 to $513
FacilityA hospital or hospital-owned outpatient department	A hospital or hospital-owned outpatient department	$603	$339 to $3,715

How much rates vary

Facilitymedian $603 · 10th to 90th $234 to $7,762Professionalmedian $316 · 10th to 90th $200 to $1,380

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier	Facility/Professional	Modifier	Typical Low	Median	Typical High
Aetna Setting Facility Modifier Global Typical Low $354.81 Median $3,235.94 Typical High $8,511.38	Facility	Global	$354.81	$3,235.94	$8,511.38
BCBS Setting Facility Modifier Global Typical Low $1,862.09 Median $3,981.07 Typical High $11,220.18	Facility	Global	$1,862.09	$3,981.07	$11,220.18
Cigna Setting Facility Modifier Global Typical Low $371.54 Median $489.78 Typical High $2,041.74	Facility	Global	$371.54	$489.78	$2,041.74
United Setting Facility Modifier Global Typical Low $1,148.15 Median $4,897.79 Typical High $12,022.64	Facility	Global	$1,148.15	$4,897.79	$12,022.64

What it costs in each state

The same service costs 25.7 times more in New Jersey than in Nevada. 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.

Touch or drag across the chart to see any state's rate.

NJ $5,888NV $229

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.