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Cutting The Sympathetic Nerve Chain

Texas 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 $2,188 · 10th–90th $813$7,7620%5%10%10th90th$2,188Professionalmedian $1,096 · 10th–90th $871$1,9950%10%20%10th90th$1,096$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
$977.24
Median
$3,715.35
Typical High
$12,302.69
Aetna
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$1,096.48
Typical High
$1,737.80
Christus
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$1,047.13
Typical High
$1,096.48
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,905.46
Median
$1,905.46
Typical High
$1,905.46
Cigna
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$1,288.25
Typical High
$1,995.26
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$56.23
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
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$912.01
Median
$1,230.27
Typical High
$2,187.76
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$1,288.25
Median
$1,659.59
Typical High
$1,995.26
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$933.25
Providence
Setting
Facility
Modifier
Global
Typical Low
$912.01
Median
$1,230.27
Typical High
$2,187.76
Providence
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$1,318.26
Typical High
$2,089.30
United
Setting
Facility
Modifier
Global
Typical Low
$436.52
Median
$2,238.72
Typical High
$9,332.54
United
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$1,047.13
Typical High
$1,698.24
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$1,047.13
Median
$1,047.13
Typical High
$1,445.44