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Sympathetic Nerve Surgery In The Lower Back

Hawaii 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?

$794

Typical physician fee. In Hawaii, July 2026.

Insurers have agreed to pay about $794 for this service. Most negotiated rates run $708 to $1,047.

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.

How much rates vary

Facilitymedian $2,818 · 10th to 90th $2,512 to $2,818Professionalmedian $794 · 10th to 90th $562 to $1,148
$50$100$200$500$1K$2Kfacility $2,818professional $794

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
$2,818.38
Median
$2,818.38
Typical High
$2,818.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$707.95
Typical High
$794.33
Cigna
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$977.24
Typical High
$1,174.90
HMSA
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,148.15
Typical High
$1,348.96
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$870.96
Typical High
$1,096.48
United
Setting
Facility
Modifier
Global
Typical Low
$2,511.89
Median
$2,511.89
Typical High
$2,511.89
United
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$794.33
Typical High
$1,174.90
University Health Alliance
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$707.95
Typical High
$1,047.13

Where Hawaii 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.

Hawaii· 43rd of 51

$794

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.