go back

Cutting The Sympathetic Nerve Chain

Arkansas 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?

$1,230

Typical physician fee. In Arkansas, July 2026.

Insurers have agreed to pay about $1,230 for this service. Most negotiated rates run $1,072 to $1,288.

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 3 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $1,698 · 10th to 90th $1,072 to $2,512Professionalmedian $1,202 · 10th to 90th $832 to $1,549
$500$1K$2Kfacility $1,698professional $1,202

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
$1,071.52
Median
$1,819.70
Typical High
$2,454.71
Aetna
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$1,202.26
Typical High
$1,288.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$1,348.96
Typical High
$2,089.30
United
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$1,230.27
Typical High
$2,570.40
United
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$1,174.90
Typical High
$2,089.30

Where Arkansas 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.

Arkansas· 35th of 51

$1,230

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.