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Cutting The Sympathetic Nerve Chain

Tennessee 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.

Facilitymedian $2,455 · 10th–90th $1,259$6,6070%10%10th90th$2,455Professionalmedian $1,202 · 10th–90th $955$2,2910%10%20%10th90th$1,202$50.0$200.0$1.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,819.70
Median
$2,691.53
Typical High
$7,585.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,202.26
Typical High
$1,698.24
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,348.96
Median
$2,290.87
Typical High
$4,365.16
BCBS
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$1,348.96
Typical High
$2,238.72
Cigna
Setting
Facility
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$30.20
Cigna
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$1,288.25
Typical High
$2,187.76
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$6,606.93
Typical High
$6,606.93
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$9,549.93
Median
$9,772.37
Typical High
$9,772.37
United
Setting
Facility
Modifier
Global
Typical Low
$1,202.26
Median
$2,344.23
Typical High
$4,365.16
United
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$1,122.02
Typical High
$2,137.96