search again

Cutting The Sympathetic Nerve Chain

Nationwide rates for HCPCS 64809

Surgery that divides or removes part of the sympathetic nerve chain, a string of nerve bundles running alongside the spine that automatically tightens blood vessels and drives sweating. Interrupting it is done for severe circulation problems, long-standing nerve pain, or excessive sweating.

Rates data updated July 2026.

Facilitymedian $6,457 · 10th–90th $1,148$16,9820%5%10%10th90th$6,457Professionalmedian $1,230 · 10th–90th $851$3,0200%20%10th90th$1,230$10.0$50.0$200.0$1.0K$5.0K$20.0K$100.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,071.52
Median
$4,168.69
Typical High
$11,748.98
Aetna
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$1,122.02
Typical High
$2,511.89
BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,890.45
Median
$10,471.29
Typical High
$21,877.62
BCBS
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$1,258.93
Typical High
$2,511.89
Cigna
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$2,344.23
Typical High
$8,317.64
Cigna
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$1,479.11
Typical High
$3,311.31
United
Setting
Facility
Modifier
Global
Typical Low
$851.14
Median
$3,090.30
Typical High
$9,772.37
United
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$1,230.27
Typical High
$2,570.40