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Tying Off An Abdominal Fluid Shunt

Virginia 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?

$501

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $501 for this service. The price depends on where it is billed: about $490 from a physician practice, and about $776 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 8 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 $603
FacilityA hospital or hospital-owned outpatient department$776$501 to $7,079

How much rates vary

Facilitymedian $776 · 10th to 90th $437 to $12,023Professionalmedian $490 · 10th to 90th $398 to $776
$500$1K$2K$5K$10Kfacility $776professional $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
$489.78
Median
$5,011.87
Typical High
$14,125.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$489.78
Typical High
$691.83
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$6,760.83
Median
$11,220.18
Typical High
$15,848.93
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$549.54
Typical High
$851.14
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$467.74
Typical High
$616.60
Cigna
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$524.81
Typical High
$724.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$524.81
Typical High
$831.76
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$478.63
Typical High
$812.83
Medcost
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$549.54
Typical High
$776.25
Medcost
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$562.34
Typical High
$870.96
Medcost
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$169.82
Typical High
$812.83
Sentara
Setting
Facility
Modifier
Global
Typical Low
$407.38
Median
$512.86
Typical High
$1,905.46
Sentara
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$512.86
Typical High
$1,905.46
United
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$2,570.40
Typical High
$5,370.32
United
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$501.19
Typical High
$851.14

Where Virginia 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.

Virginia· 33rd of 51

$501

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.