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Cutting The Sympathetic Nerve Chain

West 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?

$1,122

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $1,122 for this service. The price depends on where it is billed: about $1,148 from a physician practice, and about $1,023 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 4 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$1,148$933 to $1,202
FacilityA hospital or hospital-owned outpatient department$1,023$1,023 to $1,413

How much rates vary

Facilitymedian $1,023 · 10th to 90th $1,023 to $1,905Professionalmedian $1,148 · 10th to 90th $933 to $1,349
$50$100$200$500$1K$2K$5Kfacility $1,023professional $1,148

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
$1,023.29
Median
$1,023.29
Typical High
$1,412.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$1,148.15
Typical High
$1,202.26
CareSource
Setting
Facility
Modifier
Global
Typical Low
$1,174.90
Median
$1,174.90
Typical High
$1,479.11
CareSource
Setting
Professional
Modifier
Global
Typical Low
$1,318.26
Median
$1,318.26
Typical High
$1,318.26
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$1,905.46
Typical High
$1,905.46
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$1,584.89
Typical High
$5,248.07
United
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$758.58
Typical High
$2,041.74
United
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$954.99
Typical High
$1,737.80

Where West 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.

West Virginia· 48th of 51

$1,122

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.