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First Or Neck Rib Removal With Nerve Division

North Dakota rates for HCPCS 21616

Removal of the first rib, or of an extra rib in the neck, to open up the narrow space where nerves and blood vessels pass from the neck into the arm. In the same operation the surgeon divides part of the sympathetic nerve chain that runs alongside the spine inside the chest.

Rates data updated July 2026.

How much does First Or Neck Rib Removal With Nerve Division cost?

$1,380

Typical negotiated rate. In North Dakota, July 2026.

Insurers have agreed to pay about $1,380 for this service. The price depends on where it is billed: about $1,380 from a physician practice, and about $692 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$1,380$759 to $1,622
FacilityA hospital or hospital-owned outpatient department$692$692 to $1,122

How much rates vary

Facilitymedian $692 · 10th to 90th $676 to $8,511Professionalmedian $1,380 · 10th to 90th $692 to $1,820
$1K$2K$5Kfacility $692professional $1,380

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
$676.08
Median
$691.83
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$724.44
Typical High
$1,778.28
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,258.93
Median
$1,548.82
Typical High
$1,819.70
Cigna
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$1,258.93
Typical High
$2,089.30
Medica
Setting
Facility
Modifier
Global
Typical Low
$691.83
Median
$977.24
Typical High
$1,698.24
Medica
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$1,258.93
Typical High
$7,943.28
United
Setting
Facility
Modifier
Global
Typical Low
$1,819.70
Median
$2,041.74
Typical High
$14,454.40
United
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$1,258.93
Typical High
$1,698.24

Where North Dakota sits

The same service costs 9.8 times more in California than in Delaware. 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.

North Dakota· 7th of 51

$1,380

CA $7,079DE $724

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.