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Cutting The Sympathetic Nerve Chain

Idaho 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?

$1,660

Typical negotiated rate. In Idaho, July 2026.

Insurers have agreed to pay about $1,660 for this service. The price depends on where it is billed: about $1,622 from a physician practice, and about $1,738 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 8 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$1,622$1,148 to $2,089
FacilityA hospital or hospital-owned outpatient department$1,738$1,122 to $3,548

How much rates vary

Facilitymedian $1,738 · 10th to 90th $955 to $4,467Professionalmedian $1,622 · 10th to 90th $977 to $2,512
$1K$2K$5K$10K$20Kfacility $1,738professional $1,622

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
$4,466.84
Median
$4,466.84
Typical High
$5,495.41
Aetna
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$1,202.26
Typical High
$2,511.89
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,691.53
Median
$2,951.21
Typical High
$4,265.80
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,737.80
Median
$1,995.26
Typical High
$2,089.30
Cigna
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$1,445.44
Typical High
$1,862.09
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$1,380.38
Typical High
$2,754.23
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$1,819.70
Median
$2,041.74
Typical High
$2,511.89
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$1,737.80
Median
$2,137.96
Typical High
$2,344.23
Select Health
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$954.99
Typical High
$2,454.71
Select Health
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,621.81
Typical High
$2,238.72
United
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$3,715.35
Typical High
$26,302.68
United
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$1,380.38
Typical High
$2,089.30

Where Idaho 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.

Idaho· 13th of 51

$1,660

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.