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Sympathetic Nerve Surgery, Neck And Upper Chest

Maryland rates for HCPCS 64804

Cuts out a segment of the sympathetic chain, a string of nerve bundles running alongside the spine that controls sweating and the narrowing of blood vessels. This version removes a longer stretch, taking in both the part of the chain lying in the neck and the part at the top of the chest.

Rates data updated July 2026.

How much does Sympathetic Nerve Surgery, Neck And Upper Chest cost?

$1,230

Typical physician fee. In Maryland, July 2026.

Insurers have agreed to pay about $1,230 for this service. Most negotiated rates run $1,122 to $1,318.

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 $468 · 10th to 90th $195 to $1,122Professionalmedian $1,230 · 10th to 90th $955 to $1,995
$200.0$500.0$1.0K$2.0K$5.0K$10.0Kfacility $468professional $1,230

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
Professional
Modifier
Global
Typical Low
$977.24
Median
$1,230.27
Typical High
$1,318.26
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$1,174.90
Median
$1,202.26
Typical High
$1,548.82
Cigna
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$512.86
Typical High
$645.65
Cigna
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$1,288.25
Typical High
$2,630.27
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$1,258.93
Median
$1,445.44
Typical High
$2,137.96
United
Setting
Facility
Modifier
Global
Typical Low
$194.98
Median
$436.52
Typical High
$3,981.07
United
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$1,348.96
Typical High
$2,454.71
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$1,479.11
Typical High
$1,905.46

Where Maryland sits

The same service costs 3.8 times more in California than in Kentucky. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Maryland $1,230 · 46th of 51
CA $4,074KY $1,072

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.