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Tying Off An Abdominal Fluid Shunt

Iowa rates for HCPCS 49428

Ties shut a tube that was previously placed to carry fluid from the abdomen into a vein, so that nothing flows through it any more. The tube itself stays where it is; only the flow is stopped.

Rates data updated July 2026.

How much does Tying Off An Abdominal Fluid Shunt cost?

$676

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $676 for this service. The price depends on where it is billed: about $603 from a physician practice, and about $1,072 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 7 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$603$457 to $891
FacilityA hospital or hospital-owned outpatient department$1,072$708 to $5,370

How much rates vary

Facilitymedian $1,072 · 10th to 90th $525 to $7,762Professionalmedian $603 · 10th to 90th $389 to $1,698
$500$1K$2K$5K$10Kfacility $1,072professional $603

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
$707.95
Median
$6,456.54
Typical High
$11,481.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$562.34
Typical High
$2,290.87
Cigna
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$954.99
Typical High
$1,202.26
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$776.25
Typical High
$1,659.59
Medica
Setting
Facility
Modifier
Global
Typical Low
$436.52
Median
$794.33
Typical High
$3,388.44
Medica
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$794.33
Typical High
$3,090.30
Midlands
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$954.99
Typical High
$1,174.90
Midlands
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$891.25
Typical High
$1,174.90
United
Setting
Facility
Modifier
Global
Typical Low
$794.33
Median
$1,380.38
Typical High
$5,128.61
United
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$616.60
Typical High
$1,174.90
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$912.01
Typical High
$1,000.00

Where Iowa sits

The same service costs 2.6 times more in California than in Kentucky. 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.

Iowa· 9th of 51

$676

CA $1,122KY $427

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.