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Keyhole Chest Surgery To Cut Sympathetic Nerves

Maryland 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?

$933

Typical physician fee. In Maryland, July 2026.

Insurers have agreed to pay about $933 for this service. Most negotiated rates run $832 to $1,023.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $9,772 · 10th to 90th $9,772 to $9,772Professionalmedian $933 · 10th to 90th $759 to $1,950
$1K$2K$5K$10Kfacility $9,772professional $933

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$9,772.37
Median
$9,772.37
Typical High
$9,772.37
Aetna
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$912.01
Typical High
$4,365.16
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$831.76
Typical High
$1,071.52
Cigna
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$1,230.27
Typical High
$1,949.84
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$977.24
Typical High
$1,584.89
United
Setting
Facility
Modifier
Global
Typical Low
$2,238.72
Median
$2,238.72
Typical High
$2,238.72
United
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$1,071.52
Typical High
$1,737.80
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$1,096.48
Typical High
$1,288.25

Where Maryland sits

The same service costs 8.9 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.

Maryland· 49th of 51

$933

CA $7,413DE $832

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.