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Cutting The Sympathetic Nerve Chain

Michigan 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 $4,898 · 10th–90th $1,413$6,9180%50%10th90th$4,898Professionalmedian $1,259 · 10th–90th $832$2,5120%10%10th90th$1,259$500.0$1.0K$2.0K$5.0K$10.0K

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
$1,412.54
Median
$4,897.79
Typical High
$6,918.31
Aetna
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$1,202.26
Typical High
$1,479.11
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,511.89
Median
$2,511.89
Typical High
$2,511.89
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,621.81
Median
$2,511.89
Typical High
$2,511.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$1,288.25
Typical High
$3,630.78
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$1,412.54
Median
$2,137.96
Typical High
$4,897.79
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$1,096.48
Typical High
$1,621.81
United
Setting
Facility
Modifier
Global
Typical Low
$1,380.38
Median
$3,890.45
Typical High
$6,760.83
United
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$1,047.13
Typical High
$1,513.56