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Placement Of A Shunt To Drain Abdominal Fluid

Illinois rates for HCPCS 49425

Places a soft tube under the skin that carries fluid built up in the abdomen back into a large vein, so it rejoins the bloodstream instead of collecting in the belly. A one-way valve keeps the fluid moving in that direction only.

Rates data updated July 2026.

How much does Placement Of A Shunt To Drain Abdominal Fluid cost?

$2,693

Typical total for the visit. In Illinois, July 2026.

Insurers have agreed to pay about $2,693 for this procedure. That total is two separate charges: $955 to the doctor who performs it, and $1,738 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 6 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$955$759 to $1,288
Facility feeThe hospital or surgery center$1,738$1,202 to $3,981

How much rates vary

Facilitymedian $1,738 · 10th to 90th $832 to $5,623Professionalmedian $955 · 10th to 90th $692 to $1,585
$1K$2K$5K$10Kfacility $1,738professional $955

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
$831.76
Median
$1,737.80
Typical High
$5,623.41
Aetna
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$831.76
Typical High
$1,513.56
BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,548.13
Median
$9,120.11
Typical High
$17,782.79
BCBS
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,148.15
Typical High
$1,445.44
Cigna
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$588.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$1,023.29
Typical High
$1,659.59
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$1,445.44
Typical High
$3,715.35
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$1,023.29
Typical High
$1,148.15
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$1,122.02
United
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$1,819.70
Typical High
$4,265.80
United
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$954.99
Typical High
$1,584.89

Where Illinois sits

The same service costs 10.5 times more in Maine than in Maryland. 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

Illinois· 33rd of 50

$2,693

$955 physician + $1,738 facility

ME $14,138MD $1,352

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.