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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 October 2026.

How much does Cutting The Sympathetic Nerve Chain cost?

$2,089

Typical negotiated rate. In South Dakota, October 2026.

Insurers have agreed to pay about $2,089 for this service. The price depends on where it is billed: about $2,188 from a physician practice, and about $1,202 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$2,188$1,514 to $2,570
FacilityA hospital or hospital-owned outpatient department$1,202$759 to $1,445

How much rates vary

Facilitymedian $1,202 · 10th to 90th $759 to $1,995Professionalmedian $2,188 · 10th to 90th $1,000 to $2,818
$1K$2K$5K$10Kfacility $1,202professional $2,188

Distribution of negotiated rates across all payers (price axis is log-scale). 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
None
Typical Low
$1,023.29
Median
$1,023.29
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
None
Typical Low
$851.14
Median
$851.14
Typical High
$1,000.00
Cigna
Setting
Facility
Modifier
None
Typical Low
$1,479.11
Median
$1,479.11
Typical High
$1,862.09
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,659.59
Median
$2,290.87
Typical High
$2,951.21
Medica
Setting
Facility
Modifier
None
Typical Low
$758.58
Median
$1,202.26
Typical High
$1,995.26
Medica
Setting
Professional
Modifier
None
Typical Low
$954.99
Median
$2,290.87
Typical High
$9,332.54
Midlands
Setting
Professional
Modifier
None
Typical Low
$2,290.87
Median
$2,290.87
Typical High
$2,290.87
Midlands
Setting
Professional
Modifier
None
Typical Low
$1,513.56
Median
$1,513.56
Typical High
$1,949.84
Sanford Health Plan
Setting
Professional
Modifier
None
Typical Low
$1,122.02
Median
$1,621.81
Typical High
$2,187.76
United
Setting
Facility
Modifier
None
Typical Low
$758.58
Median
$758.58
Typical High
$1,202.26
United
Setting
Professional
Modifier
None
Typical Low
$954.99
Median
$1,819.70
Typical High
$2,818.38
Wellmark
Setting
Professional
Modifier
None
Typical Low
$2,187.76
Median
$2,290.87
Typical High
$2,691.53

Where South Dakota sits

The same service costs 21.9 times more in Alaska than in Texas. 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· 7th of 51

$2,089

AK $4,467TX $204

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.