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Cutting The Sympathetic Nerve Chain

Illinois 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 $2,138 · 10th–90th $1,148$9,7720%10%10th90th$2,138Professionalmedian $1,288 · 10th–90th $891$3,0200%10%10th90th$1,288$50.0$200.0$1.0K$5.0K$20.0K

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
$1,148.15
Median
$2,137.96
Typical High
$7,762.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$1,202.26
Typical High
$3,019.95
BCBS
Setting
Facility
Modifier
Global
Typical Low
$5,888.44
Median
$15,135.61
Typical High
$29,512.09
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,548.82
Median
$1,949.84
Typical High
$2,187.76
Cigna
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$1,479.11
Typical High
$2,290.87
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$1,047.13
Median
$1,949.84
Typical High
$4,897.79
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$1,230.27
Median
$1,445.44
Typical High
$1,698.24
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$1,819.70
United
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$2,884.03
Typical High
$7,413.10
United
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$1,230.27
Typical High
$2,398.83