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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.

How much does Cutting The Sympathetic Nerve Chain cost?

$1,479

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $1,479 for this service. The price depends on where it is billed: about $1,288 from a physician practice, and about $2,138 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 6 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$1,288$1,000 to $2,042
FacilityA hospital or hospital-owned outpatient department$2,138$1,259 to $5,129

How much rates vary

Facilitymedian $2,138 · 10th to 90th $1,148 to $9,772Professionalmedian $1,288 · 10th to 90th $891 to $3,020
$200$500$1K$2K$5K$10K$20Kfacility $2,138professional $1,288

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
$1,148.15
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

Where Illinois 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.

Illinois· 20th of 51

$1,479

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.