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Cutting The Sympathetic Nerve Chain

Montana 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 October 2026.

How much does Cutting The Sympathetic Nerve Chain cost?

$1,738

Typical negotiated rate. In Montana, October 2026.

Insurers have agreed to pay about $1,738 for this service. The price depends on where it is billed: about $1,738 from a physician practice, and about $1,862 from a hospital or other facility.

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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$1,738$1,202 to $1,738
FacilityA hospital or hospital-owned outpatient department$1,862$1,288 to $1,905

How much rates vary

Facilitymedian $1,862 · 10th to 90th $1,047 to $2,042Professionalmedian $1,738 · 10th to 90th $85 to $1,862
$100$200$500$1K$2Kfacility $1,862professional $1,738

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$977.24
Median
$1,122.02
Typical High
$2,511.89
Cigna
Setting
Facility
Modifier
None
Typical Low
$1,737.80
Median
$1,737.80
Typical High
$1,737.80
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,737.80
Median
$1,737.80
Typical High
$1,737.80
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$1,047.13
Median
$1,862.09
Typical High
$2,137.96
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$1,202.26
Median
$1,862.09
Typical High
$1,995.26
Providence
Setting
Facility
Modifier
None
Typical Low
$1,737.80
Median
$1,737.80
Typical High
$1,737.80
Providence
Setting
Professional
Modifier
None
Typical Low
$79.43
Median
$1,584.89
Typical High
$1,737.80
United
Setting
Facility
Modifier
None
Typical Low
$602.56
Median
$954.99
Typical High
$1,862.09
United
Setting
Professional
Modifier
None
Typical Low
$1,288.25
Median
$1,778.28
Typical High
$1,995.26

Where Montana sits

The same service costs 21.9 times more in Alaska than in Texas. 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.

Montana· 11th of 51

$1,738

AK $4,467TX $204

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.