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Cutting The Sympathetic Nerve Chain

Virginia 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?

$1,349

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $1,349 for this service. The price depends on where it is billed: about $1,230 from a physician practice, and about $3,631 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$1,230$1,072 to $1,660
FacilityA hospital or hospital-owned outpatient department$3,631$1,259 to $14,791

How much rates vary

Facilitymedian $3,631 · 10th to 90th $1,000 to $22,909Professionalmedian $1,230 · 10th to 90th $832 to $2,630
$1K$2K$5K$10K$20Kfacility $3,631professional $1,230

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
$1,202.26
Median
$5,011.87
Typical High
$14,125.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$1,202.26
Typical High
$1,659.59
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$8,709.64
Median
$20,892.96
Typical High
$28,840.32
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,071.52
Median
$1,584.89
Typical High
$2,754.23
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$1,230.27
Typical High
$1,698.24
Cigna
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$645.65
Typical High
$645.65
Cigna
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$1,148.15
Typical High
$2,398.83
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,318.26
Typical High
$1,584.89
Medcost
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$1,348.96
Typical High
$2,511.89
Medcost
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$1,288.25
Typical High
$2,041.74
Medcost
Setting
Professional
Modifier
Global
Typical Low
$1,071.52
Median
$1,071.52
Typical High
$1,071.52
Sentara
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$1,230.27
Typical High
$4,677.35
Sentara
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$1,230.27
Typical High
$4,677.35
United
Setting
Facility
Modifier
Global
Typical Low
$1,479.11
Median
$3,388.44
Typical High
$6,606.93
United
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$1,122.02
Typical High
$2,089.30

Where Virginia 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.

Virginia· 27th of 51

$1,349

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.