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Sympathetic Nerve Surgery In The Lower Back

Alaska rates for HCPCS 64818

Cuts out a segment of the sympathetic chain, the string of nerve bundles running alongside the spine that controls sweating and the narrowing of blood vessels. This version removes the part of the chain lying in the lower back.

Rates data updated July 2026.

How much does Sympathetic Nerve Surgery In The Lower Back cost?

$1,905

Typical negotiated rate. In Alaska, July 2026.

Insurers have agreed to pay about $1,905 for this service. The price depends on where it is billed: about $2,042 from a physician practice, and about $1,122 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 6 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$2,042$724 to $3,162
FacilityA hospital or hospital-owned outpatient department$1,122$871 to $2,630

How much rates vary

Facilitymedian $1,122 · 10th to 90th $708 to $5,129Professionalmedian $2,042 · 10th to 90th $603 to $3,802
$1K$2K$5K$10Kfacility $1,122professional $2,042

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
Facility
Modifier
Global
Typical Low
$2,290.87
Median
$9,772.37
Typical High
$16,595.87
Aetna
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$724.44
Typical High
$3,715.35
Cigna
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$1,000.00
Typical High
$2,570.40
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$1,000.00
Typical High
$4,073.80
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$1,778.28
Median
$2,630.27
Typical High
$4,168.69
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$3,090.30
Median
$3,162.28
Typical High
$4,265.80
Providence
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$1,000.00
Typical High
$4,073.80
Providence
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$1,071.52
Typical High
$2,570.40
United
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$630.96
Typical High
$630.96
United
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$2,041.74
Typical High
$5,128.61

Where Alaska sits

The same service costs 8.9 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.

Alaska· 4th of 51

$1,905

CA $6,607KY $741

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.