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Cutting The Sympathetic Nerve Chain

Alaska 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 October 2026.

How much does Cutting The Sympathetic Nerve Chain cost?

$4,467

Typical negotiated rate. In Alaska, October 2026.

Insurers have agreed to pay about $4,467 for this service. The price depends on where it is billed: about $4,467 from a physician practice, and about $5,012 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$4,467$2,754 to $4,467
FacilityA hospital or hospital-owned outpatient department$5,012$1,820 to $16,596

How much rates vary

Facilitymedian $5,012 · 10th to 90th $1,000 to $251,189Professionalmedian $4,467 · 10th to 90th $1,096 to $5,012
$100$1K$10K$100Kfacility $5,012professional $4,467

Distribution of negotiated rates across all payers (price axis is log-scale). 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
None
Typical Low
$5,011.87
Median
$12,022.64
Typical High
$16,595.87
Aetna
Setting
Professional
Modifier
None
Typical Low
$1,000.00
Median
$5,011.87
Typical High
$14,125.38
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,096.48
Median
$1,096.48
Typical High
$3,467.37
Moda Health
Setting
Facility
Modifier
None
Typical Low
$1,698.24
Median
$5,011.87
Typical High
$7,079.46
Moda Health
Setting
Professional
Modifier
None
Typical Low
$1,023.29
Median
$3,801.89
Typical High
$6,456.54
Premera BCBS
Setting
Professional
Modifier
None
Typical Low
$4,466.84
Median
$4,466.84
Typical High
$4,466.84
Providence
Setting
Facility
Modifier
None
Typical Low
$4,897.79
Median
$251,188.64
Typical High
$346,736.85
Providence
Setting
Professional
Modifier
None
Typical Low
$60.26
Median
$1,479.11
Typical High
$3,467.37
United
Setting
Facility
Modifier
None
Typical Low
$691.83
Median
$1,071.52
Typical High
$4,265.80
United
Setting
Professional
Modifier
None
Typical Low
$1,000.00
Median
$2,754.23
Typical High
$6,918.31

Where Alaska sits

The same service costs 21.9 times more in Alaska than in Texas. 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.

Alaska· 1st of 51

$4,467

AK $4,467TX $204

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.