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Cutting The Sympathetic Nerve Chain

Wyoming 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 October 2026.

How much does Cutting The Sympathetic Nerve Chain cost?

$2,692

Typical negotiated rate. In Wyoming, October 2026.

Insurers have agreed to pay about $2,692 for this service. The price depends on where it is billed: about $2,692 from a physician practice, and about $1,288 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$2,692$2,239 to $3,631
FacilityA hospital or hospital-owned outpatient department$1,288$1,096 to $3,090

How much rates vary

Facilitymedian $1,288 · 10th to 90th $1,072 to $19,055Professionalmedian $2,692 · 10th to 90th $1,549 to $4,365
$1K$2K$5K$10K$20Kfacility $1,288professional $2,692

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$1,096.48
Median
$1,096.48
Typical High
$1,096.48
Aetna
Setting
Professional
Modifier
None
Typical Low
$1,071.52
Median
$1,096.48
Typical High
$2,511.89
BCBS Wyoming
Setting
Professional
Modifier
None
Typical Low
$2,238.72
Median
$3,630.78
Typical High
$4,365.16
BCBS Wyoming
Setting
Professional
Modifier
50 · Both sides
Typical Low
$2,238.72
Median
$4,073.80
Typical High
$6,456.54
Cigna
Setting
Facility
Modifier
None
Typical Low
$1,513.56
Median
$1,513.56
Typical High
$22,908.68
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,318.26
Median
$1,621.81
Typical High
$2,344.23
United
Setting
Facility
Modifier
None
Typical Low
$660.69
Median
$1,258.93
Typical High
$19,054.61
United
Setting
Professional
Modifier
None
Typical Low
$954.99
Median
$1,949.84
Typical High
$2,884.03

Where Wyoming sits

The same service costs 21.9 times more in Alaska than in Texas. 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.

Wyoming· 3rd of 51

$2,692

AK $4,467TX $204

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.