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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.

How much does Cutting The Sympathetic Nerve Chain cost?

$1,413

Typical negotiated rate. In Georgia, July 2026.

Insurers have agreed to pay about $1,413 for this service. The price depends on where it is billed: about $1,259 from a physician practice, and about $4,571 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 5 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$1,259$1,096 to $1,660
FacilityA hospital or hospital-owned outpatient department$4,571$2,188 to $6,918

How much rates vary

Facilitymedian $4,571 · 10th to 90th $1,380 to $10,471Professionalmedian $1,259 · 10th to 90th $912 to $2,344
$1K$2K$5K$10K$20Kfacility $4,571professional $1,259

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
$1,122.02
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

Where Georgia 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.

Georgia· 24th of 51

$1,413

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.