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Keyhole Chest Surgery To Cut Sympathetic Nerves

Nationwide rates for HCPCS 32664

A camera and instruments are passed into the chest through small incisions between the ribs, and part of the sympathetic nerve chain running alongside the spine is cut or removed. Interrupting that chain changes the signals it sends to the hand, face and blood vessels on that side.

Rates data updated July 2026.

How much does Keyhole Chest Surgery To Cut Sympathetic Nerves cost?

$6,320

Typical total for the visit. Nationwide, July 2026.

Insurers have agreed to pay about $6,320 for this procedure. That total is two separate charges: $1,072 to the doctor who performs it, and $5,248 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 64 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$1,072$871 to $1,622
Facility feeThe hospital or surgery center$5,248$2,399 to $10,471

How much rates vary

Facilitymedian $5,248 · 10th to 90th $1,096 to $16,596Professionalmedian $1,072 · 10th to 90th $759 to $2,570
$100$500$2K$10Kfacility $5,248professional $1,072

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
$1,000.00
Median
$3,548.13
Typical High
$9,772.37
Aetna
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$954.99
Typical High
$2,570.40
BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,073.80
Median
$11,220.18
Typical High
$23,988.33
BCBS
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$1,202.26
Typical High
$2,187.76
Cigna
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$2,187.76
Typical High
$6,456.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$1,318.26
Typical High
$2,630.27
United
Setting
Facility
Modifier
Global
Typical Low
$1,862.09
Median
$4,786.30
Typical High
$11,481.54
United
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$1,096.48
Typical High
$2,089.30

What it costs in each state

The same service costs 13.0 times more in Maine than in West Virginia. 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

Touch or drag across the chart to see any state's rate.

ME $23,562WV $1,806

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.