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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 July 2026.

How much does Cutting The Sympathetic Nerve Chain cost?

$1,122

Typical physician fee. In Wyoming, July 2026.

Insurers have agreed to pay about $1,122 for this service. Most negotiated rates run $1,072 to $2,692.

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.

How much rates vary

Facilitymedian $1,288 · 10th to 90th $1,288 to $3,236Professionalmedian $1,122 · 10th to 90th $1,072 to $4,365
$1K$2K$5Kfacility $1,288professional $1,122

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,071.52
Median
$1,096.48
Typical High
$1,122.02
BCBS
Setting
Professional
Modifier
Global
Typical Low
$2,691.53
Median
$4,365.16
Typical High
$4,365.16
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,202.26
Median
$2,089.30
Typical High
$2,570.40
United
Setting
Facility
Modifier
Global
Typical Low
$1,288.25
Median
$1,288.25
Typical High
$3,235.94
United
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,862.09
Typical High
$3,388.44

Where Wyoming 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.

Wyoming· 47th 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.