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Tying Off An Abdominal Fluid Shunt

Missouri 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?

$575

Typical negotiated rate. In Missouri, July 2026.

Insurers have agreed to pay about $575 for this service. The price depends on where it is billed: about $490 from a physician practice, and about $3,715 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 6 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$490$427 to $646
FacilityA hospital or hospital-owned outpatient department$3,715$1,820 to $5,623

How much rates vary

Facilitymedian $3,715 · 10th to 90th $589 to $8,511Professionalmedian $490 · 10th to 90th $398 to $1,023
$100.0$500.0$2.0K$10.0Kfacility $3,715professional $490

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
$467.74
Median
$3,890.45
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$467.74
Typical High
$1,230.27
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,238.72
Median
$4,677.35
Typical High
$10,000.00
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$489.78
Typical High
$812.83
BCBS
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$501.19
Typical High
$707.95
Cigna
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$2,691.53
Typical High
$2,691.53
Cigna
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$549.54
Typical High
$912.01
Medica
Setting
Facility
Modifier
Global
Typical Low
$354.81
Median
$602.56
Typical High
$1,819.70
Medica
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$660.69
Typical High
$3,090.30
United
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$1,288.25
Typical High
$2,754.23
United
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$537.03
Typical High
$891.25

Where Missouri sits

The same service costs 2.6 times more in California than in Kentucky. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Missouri $575 · 18th of 51
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.