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Cutting The Sympathetic Nerve Chain

Maine 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?

$1,318

Typical physician fee. In Maine, July 2026.

Insurers have agreed to pay about $1,318 for this service. Most negotiated rates run $1,072 to $1,698.

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 $24,547 · 10th to 90th $22,909 to $33,113Professionalmedian $1,259 · 10th to 90th $871 to $2,188
$1K$2K$5K$10K$20Kfacility $24,547professional $1,259

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$1,071.52
Typical High
$1,230.27
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$22,908.68
Median
$24,547.09
Typical High
$33,113.11
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,621.81
Typical High
$2,398.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$1,380.38
Typical High
$2,398.83
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$1,348.96
Median
$1,621.81
Typical High
$3,090.30
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$1,071.52
Typical High
$1,230.27
United
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$1,412.54
Typical High
$2,398.83

Where Maine 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.

Maine· 29th of 51

$1,318

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.