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Cutting The Sympathetic Nerve Chain

Hawaii 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?

$1,318

Typical physician fee. In Hawaii, October 2026.

Insurers have agreed to pay about $1,318 for this service. Most negotiated rates run $1,288 to $1,479.

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.

How much rates vary

Facilitymedian $1,202 · 10th to 90th $1,148 to $2,818Professionalmedian $1,318 · 10th to 90th $30 to $1,660
$50$100$200$500$1K$2Kfacility $1,202professional $1,318

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
$2,818.38
Median
$2,818.38
Typical High
$2,818.38
Aetna
Setting
Professional
Modifier
None
Typical Low
$870.96
Median
$1,023.29
Typical High
$1,348.96
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,318.26
Median
$1,318.26
Typical High
$1,318.26
HMSA
Setting
Professional
Modifier
None
Typical Low
$1,412.54
Median
$1,584.89
Typical High
$1,659.59
HMSA
Setting
Professional
Modifier
51 · Multiple procedures
Typical Low
$691.83
Median
$794.33
Typical High
$831.76
HMSA
Setting
Professional
Modifier
AS · PA/NP assist
Typical Low
$239.88
Median
$269.15
Typical High
$281.84
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$1,174.90
Median
$1,288.25
Typical High
$1,584.89
United
Setting
Facility
Modifier
None
Typical Low
$1,148.15
Median
$1,202.26
Typical High
$2,511.89
United
Setting
Professional
Modifier
None
Typical Low
$1,148.15
Median
$1,318.26
Typical High
$1,318.26
University Health Alliance
Setting
Professional
Modifier
None
Typical Low
$29.51
Median
$181.97
Typical High
$1,445.44

Where Hawaii 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.

Hawaii· 25th of 51

$1,318

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.