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Cutting The Sympathetic Nerve Chain

Oregon 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?

$1,905

Typical negotiated rate. In Oregon, July 2026.

Insurers have agreed to pay about $1,905 for this service. The price depends on where it is billed: about $1,905 from a physician practice, and about $1,995 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 8 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$1,905$1,259 to $2,455
FacilityA hospital or hospital-owned outpatient department$1,995$1,413 to $2,089

How much rates vary

Facilitymedian $1,995 · 10th to 90th $1,175 to $2,754Professionalmedian $1,905 · 10th to 90th $851 to $3,020
$100$500$2K$10Kfacility $1,995professional $1,905

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
$2,089.30
Median
$2,754.23
Typical High
$7,943.28
Aetna
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$1,122.02
Typical High
$3,388.44
Cigna
Setting
Facility
Modifier
Global
Typical Low
$851.14
Median
$851.14
Typical High
$851.14
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,148.15
Median
$1,905.46
Typical High
$2,818.38
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$1,737.80
Median
$2,290.87
Typical High
$2,630.27
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$1,023.29
Median
$1,479.11
Typical High
$2,238.72
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$1,258.93
Median
$1,905.46
Typical High
$2,818.38
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$1,258.93
Median
$2,089.30
Typical High
$2,187.76
Providence
Setting
Facility
Modifier
Global
Typical Low
$1,023.29
Median
$1,479.11
Typical High
$2,290.87
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$2,041.74
Typical High
$2,884.03
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$5,248.07
Median
$5,248.07
Typical High
$5,248.07
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$1,513.56
Median
$2,570.40
Typical High
$3,311.31
United
Setting
Facility
Modifier
Global
Typical Low
$2,511.89
Median
$10,232.93
Typical High
$31,622.78
United
Setting
Professional
Modifier
Global
Typical Low
$1,148.15
Median
$1,995.26
Typical High
$3,019.95

Where Oregon 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.

Oregon· 6th of 51

$1,905

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.