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Cutting The Sympathetic Nerve Chain

Nebraska 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?

$1,778

Typical negotiated rate. In Nebraska, July 2026.

Insurers have agreed to pay about $1,778 for this service. The price depends on where it is billed: about $1,698 from a physician practice, and about $7,943 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$1,698$977 to $2,138
FacilityA hospital or hospital-owned outpatient department$7,943$4,365 to $13,490

How much rates vary

Facilitymedian $7,943 · 10th to 90th $1,622 to $14,454Professionalmedian $1,698 · 10th to 90th $933 to $5,754
$1K$2K$5K$10K$20Kfacility $7,943professional $1,698

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
$6,025.60
Median
$8,511.38
Typical High
$14,454.40
Aetna
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$1,698.24
Typical High
$5,754.40
BCBS
Setting
Facility
Modifier
Global
Typical Low
$6,760.83
Median
$8,912.51
Typical High
$17,378.01
BCBS
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$1,548.82
Typical High
$2,041.74
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,122.02
Median
$2,290.87
Typical High
$2,951.21
Medica
Setting
Facility
Modifier
Global
Typical Low
$933.25
Median
$1,698.24
Typical High
$13,803.84
Medica
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$1,548.82
Typical High
$9,332.54
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,949.84
Median
$2,290.87
Typical High
$3,388.44
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,949.84
Median
$2,238.72
Typical High
$3,388.44
United
Setting
Facility
Modifier
Global
Typical Low
$1,621.81
Median
$3,388.44
Typical High
$8,128.31
United
Setting
Professional
Modifier
Global
Typical Low
$1,148.15
Median
$1,995.26
Typical High
$2,570.40

Where Nebraska 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.

Nebraska· 10th of 51

$1,778

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.