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Tying Off An Abdominal Fluid Shunt

Montana 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?

$646

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $646 for this service. The price depends on where it is billed: about $575 from a physician practice, and about $741 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 5 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$575$437 to $759
FacilityA hospital or hospital-owned outpatient department$741$589 to $813

How much rates vary

Facilitymedian $741 · 10th to 90th $468 to $891Professionalmedian $575 · 10th to 90th $398 to $1,072
$100$200$500$1K$2Kfacility $741professional $575

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
Professional
Modifier
Global
Typical Low
$398.11
Median
$457.09
Typical High
$2,290.87
Cigna
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$676.08
Typical High
$676.08
Cigna
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$630.96
Typical High
$1,288.25
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$758.58
Typical High
$831.76
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$758.58
Typical High
$831.76
Providence
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$602.56
Typical High
$1,047.13
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$691.83
Typical High
$1,148.15
United
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$524.81
Typical High
$524.81
United
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$707.95
Typical High
$912.01

Where Montana 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.

Montana· 10th of 51

$646

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.