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Cutting The Sympathetic Nerve Chain

Washington 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 $1,820 · 10th–90th $851$7,9430%10%10th90th$1,820Professionalmedian $1,514 · 10th–90th $776$2,9510%5%10%10th90th$1,514$50.0$200.0$1.0K$5.0K$20.0K

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
$1,348.96
Median
$2,754.23
Typical High
$18,620.87
Aetna
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$1,412.54
Typical High
$3,019.95
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$1,513.56
Median
$2,137.96
Typical High
$3,019.95
Cigna
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$758.58
Typical High
$870.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$1,778.28
Typical High
$3,162.28
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$794.33
Median
$1,288.25
Typical High
$2,630.27
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$1,318.26
Typical High
$2,630.27
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$446.68
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$1,258.93
Median
$2,089.30
Typical High
$2,089.30
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,479.11
Median
$1,479.11
Typical High
$1,513.56
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,513.56
Median
$2,238.72
Typical High
$2,884.03
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$1,513.56
Median
$2,187.76
Typical High
$2,951.21
United
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$1,318.26
Typical High
$5,754.40
United
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$1,584.89
Typical High
$2,951.21
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$1,230.27
Typical High
$2,238.72