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Revision of a Peritoneal-to-Vein Fluid Shunt

North Dakota rates for HCPCS 49426

This surgery repairs or adjusts a previously placed tube that drains excess fluid from the abdominal cavity into a vein, used to treat conditions such as severe fluid buildup from liver disease or cancer. It is done when the shunt becomes blocked, moves out of place, or otherwise stops working properly.

Rates data updated July 2026.

How much does Revision of a Peritoneal-to-Vein Fluid Shunt cost?

$1,949

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

Insurers have agreed to pay about $1,949 for this procedure. That total is two separate charges: $1,288 to the doctor who performs it, and $661 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$1,288$708 to $1,549
Facility feeThe hospital or surgery center$661$661 to $2,512

How much rates vary

Facilitymedian $661 · 10th to 90th $603 to $8,511Professionalmedian $1,288 · 10th to 90th $603 to $1,738
$1K$2K$5Kfacility $661professional $1,288

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
Aetna
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$660.69
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$660.69
Typical High
$1,737.80
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,174.90
Median
$1,479.11
Typical High
$1,737.80
Cigna
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$1,230.27
Typical High
$1,862.09
Medica
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$977.24
Typical High
$1,949.84
Medica
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$1,023.29
Typical High
$4,897.79
United
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$4,677.35
Typical High
$7,244.36
United
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$933.25
Typical High
$1,548.82

Where North Dakota sits

The same service costs 7.2 times more in Indiana than in West Virginia. 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· 45th of 50

$1,949

$1,288 physician + $661 facility

IN $10,040WV $1,400

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.