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Cutting The Sympathetic Nerve Chain

New Hampshire 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 New Hampshire, July 2026.

Insurers have agreed to pay about $1,778 for this service. The price depends on where it is billed: about $1,738 from a physician practice, and about $16,596 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$1,738$1,259 to $2,291
FacilityA hospital or hospital-owned outpatient department$16,596$5,623 to $26,915

How much rates vary

Facilitymedian $16,596 · 10th to 90th $3,020 to $30,200Professionalmedian $1,738 · 10th to 90th $1,096 to $2,754
$100$500$2K$10Kfacility $16,596professional $1,738

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
$100.00
Median
$3,019.95
Typical High
$9,772.37
Aetna
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$1,230.27
Typical High
$1,258.93
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$5,623.41
Median
$19,952.62
Typical High
$30,902.95
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$2,238.72
Typical High
$3,162.28
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,071.52
Median
$1,621.81
Typical High
$3,162.28
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$7,413.10
Median
$7,413.10
Typical High
$7,413.10
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$1,258.93
Median
$1,819.70
Typical High
$2,630.27
United
Setting
Facility
Modifier
Global
Typical Low
$7,413.10
Median
$7,413.10
Typical High
$7,413.10
United
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$1,698.24
Typical High
$3,090.30
Well Sense
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$691.83
Typical High
$1,288.25

Where New Hampshire 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.

New Hampshire· 9th 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.