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Cutting The Sympathetic Nerve Chain

South Dakota 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 South Dakota, July 2026.

Insurers have agreed to pay about $1,862 for this service. The price depends on where it is billed: about $1,862 from a physician practice, and about $1,698 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 7 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$1,862$1,000 to $2,399
FacilityA hospital or hospital-owned outpatient department$1,698$1,349 to $2,344

How much rates vary

Facilitymedian $1,698 · 10th to 90th $1,122 to $4,365Professionalmedian $1,862 · 10th to 90th $851 to $2,951
$1K$2K$5K$10Kfacility $1,698professional $1,862

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,023.29
Median
$4,365.16
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$1,000.00
Typical High
$2,511.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,778.28
Median
$2,344.23
Typical High
$2,951.21
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,202.26
Median
$1,584.89
Typical High
$2,344.23
Medica
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,737.80
Typical High
$9,332.54
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,513.56
Median
$2,290.87
Typical High
$2,290.87
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,513.56
Median
$1,513.56
Typical High
$1,949.84
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$1,047.13
Median
$1,862.09
Typical High
$2,187.76
United
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$1,995.26
Typical High
$1,995.26
United
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,737.80
Typical High
$2,691.53
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$2,187.76
Median
$2,290.87
Typical High
$2,691.53

Where South Dakota 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.

South Dakota· 8th 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.