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Cutting The Sympathetic Nerve Chain

Georgia 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 $4,571 · 10th–90th $1,380$10,4710%5%10th90th$4,571Professionalmedian $1,259 · 10th–90th $912$2,3440%10%20%10th90th$1,259$100.0$500.0$2.0K$10.0K

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
$1,122.02
Median
$4,570.88
Typical High
$7,585.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$1,230.27
Typical High
$2,187.76
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,479.11
Median
$4,365.16
Typical High
$21,877.62
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$1,445.44
Typical High
$2,238.72
Cigna
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$501.19
Typical High
$2,511.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$1,513.56
Typical High
$2,951.21
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$1,202.26
Median
$1,584.89
Typical High
$2,570.40
United
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$2,951.21
Typical High
$7,585.78
United
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$1,230.27
Typical High
$2,511.89