go back

Cutting The Sympathetic Nerve Chain

Kentucky 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 $8,128 · 10th–90th $851$11,2200%10%20%10th90th$8,128Professionalmedian $977 · 10th–90th $724$1,6600%20%40%10th90th$977$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
$851.14
Median
$1,047.13
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$1,000.00
Typical High
$1,659.59
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$8,912.51
Median
$10,715.19
Typical High
$16,595.87
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$812.83
Typical High
$1,230.27
CareSource
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$1,380.38
Typical High
$1,778.28
CareSource
Setting
Professional
Modifier
Global
Typical Low
$1,122.02
Median
$1,380.38
Typical High
$1,659.59
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$1,905.46
Typical High
$1,905.46
Cigna
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,479.11
Typical High
$5,248.07
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$741.31
United
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$4,466.84
Typical High
$28,183.83
United
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$1,148.15
Typical High
$1,862.09