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Cutting The Sympathetic Nerve Chain

Alabama 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.

How much does Cutting The Sympathetic Nerve Chain cost?

$1,349

Typical negotiated rate. In Alabama, July 2026.

Insurers have agreed to pay about $1,349 for this service. The price depends on where it is billed: about $1,122 from a physician practice, and about $3,802 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 4 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$1,122$933 to $1,660
FacilityA hospital or hospital-owned outpatient department$3,802$1,259 to $7,586

How much rates vary

Facilitymedian $3,802 · 10th to 90th $813 to $9,333Professionalmedian $1,122 · 10th to 90th $776 to $2,570
$500$1K$2K$5K$10Kfacility $3,802professional $1,122

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
$954.99
Median
$1,258.93
Typical High
$2,398.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$1,122.02
Typical High
$3,162.28
BCBS
Setting
Facility
Modifier
Global
Typical Low
$6,456.54
Median
$7,762.47
Typical High
$10,471.29
BCBS
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$1,230.27
Typical High
$1,513.56
Cigna
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$1,258.93
Typical High
$1,905.46
United
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$1,819.70
Typical High
$5,248.07
United
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$1,023.29
Typical High
$1,778.28

Where Alabama sits

The same service costs 6.6 times more in California than in Kentucky. 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.

Alabama· 26th of 51

$1,349

CA $6,607KY $1,000

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.