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Cutting The Sympathetic Nerve Chain

Oklahoma 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?

$1,862

Typical negotiated rate. In Oklahoma, July 2026.

Insurers have agreed to pay about $1,862 for this service. The price depends on where it is billed: about $977 from a physician practice, and about $8,318 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 5 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$977$955 to $1,230
FacilityA hospital or hospital-owned outpatient department$8,318$1,622 to $13,490

How much rates vary

Facilitymedian $8,318 · 10th to 90th $1,000 to $18,621Professionalmedian $977 · 10th to 90th $871 to $1,660
$500$1K$2K$5K$10K$20Kfacility $8,318professional $977

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
$954.99
Median
$1,513.56
Typical High
$6,606.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$977.24
Typical High
$977.24
BCBS
Setting
Facility
Modifier
Global
Typical Low
$8,317.64
Median
$12,589.25
Typical High
$20,892.96
Cigna
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$891.25
Typical High
$891.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$1,174.90
Typical High
$1,737.80
Medica
Setting
Facility
Modifier
Global
Typical Low
$691.83
Median
$1,318.26
Typical High
$5,888.44
Medica
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$1,148.15
Typical High
$9,332.54
United
Setting
Facility
Modifier
Global
Typical Low
$346.74
Median
$1,995.26
Typical High
$6,165.95
United
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$1,023.29
Typical High
$1,479.11

Where Oklahoma 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.

Oklahoma· 7th of 51

$1,862

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.