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Scalene Muscle Release With Cervical Rib Removal

Montana rates for HCPCS 21705

This surgery treats compression of nerves and blood vessels in the lower neck and upper chest, a condition called thoracic outlet syndrome. The surgeon cuts the anterior scalene muscle in the neck to relieve pressure on the nerves and vessels passing beneath it, and also removes an extra cervical rib when one is present and contributing to the squeeze. It is usually done through an incision above the collarbone or in the armpit area.

Rates data updated October 2026.

How much does Scalene Muscle Release With Cervical Rib Removal cost?

$1,703

Typical total for the visit. In Montana, October 2026.

Insurers have agreed to pay about $1,703 for this procedure. That total is two separate charges: $832 to the doctor who performs it, and $871 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

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.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$832$550 to $851
Facility feeThe hospital or surgery center$871$851 to $1,000

How much rates vary

Facilitymedian $871 · 10th to 90th $832 to $5,888Professionalmedian $832 · 10th to 90th $85 to $912
$100$200$500$1K$2K$5K$10Kfacility $871professional $832

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$457.09
Median
$575.44
Typical High
$1,071.52
Cigna
Setting
Facility
Modifier
None
Typical Low
$831.76
Median
$5,888.44
Typical High
$16,982.44
Cigna
Setting
Professional
Modifier
None
Typical Low
$831.76
Median
$831.76
Typical High
$831.76
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$851.14
Median
$851.14
Typical High
$977.24
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$549.54
Median
$851.14
Typical High
$912.01
Providence
Setting
Facility
Modifier
None
Typical Low
$831.76
Median
$5,888.44
Typical High
$16,982.44
Providence
Setting
Professional
Modifier
None
Typical Low
$79.43
Median
$758.58
Typical High
$851.14
United
Setting
Facility
Modifier
None
Typical Low
$2,691.53
Median
$3,311.31
Typical High
$9,120.11
United
Setting
Professional
Modifier
None
Typical Low
$812.83
Median
$912.01
Typical High
$1,047.13

Where Montana sits

The same service costs 6.9 times more in Alaska than in Montana. 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.

Physician feeFacility fee

Montana· 51st of 51

$1,703

$832 physician + $871 facility

AK $11,688MT $1,703

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.