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Scalene Muscle Release With Cervical Rib Removal

Washington 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 July 2026.

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

$2,180

Typical total for the visit. In Washington, July 2026.

Insurers have agreed to pay about $2,180 for this procedure. That total is two separate charges: $891 to the doctor who performs it, and $1,288 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 10 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$891$646 to $1,230
Facility feeThe hospital or surgery center$1,288$832 to $12,023

How much rates vary

Facilitymedian $1,288 · 10th to 90th $646 to $21,878Professionalmedian $891 · 10th to 90th $513 to $1,549
$100.0$1.0K$10.0Kfacility $1,288professional $891

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
$977.24
Median
$6,456.54
Typical High
$19,952.62
Aetna
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$831.76
Typical High
$1,479.11
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$14,125.38
Median
$21,379.62
Typical High
$36,307.81
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$1,023.29
Typical High
$1,479.11
Cigna
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$758.58
Typical High
$870.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$891.25
Typical High
$1,548.82
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$1,047.13
Typical High
$9,549.93
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$1,000.00
Typical High
$6,309.57
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$204.17
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$1,000.00
Typical High
$1,071.52
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$707.95
Typical High
$724.44
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$1,047.13
Typical High
$1,380.38
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$14,125.38
Median
$19,054.61
Typical High
$35,481.34
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$1,047.13
Typical High
$1,412.54
United
Setting
Facility
Modifier
Global
Typical Low
$4,265.80
Median
$21,379.62
Typical High
$41,686.94
United
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$851.14
Typical High
$1,479.11
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$562.34
Typical High
$977.24

Where Washington sits

The same service costs 14.1 times more in Wyoming than in West Virginia. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Physician feeFacility feeWashington $2,180 · 44th of 50
WY $15,499WV $1,099

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.