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Nerve Surgery to Improve Blood Flow to a Finger or Toe

Nationwide rates for HCPCS 64820

This procedure interrupts the small sympathetic nerve fibers that cause blood vessels in a finger or toe to narrow, done to improve blood flow to the digit. It is typically used for severe circulation problems in a single digit, such as when other treatments have not relieved poor blood flow or non-healing sores.

Rates data updated July 2026.

How much does Nerve Surgery to Improve Blood Flow to a Finger or Toe cost?

$5,157

Typical total for the visit. Nationwide, July 2026.

Insurers have agreed to pay about $5,157 for this procedure. That total is two separate charges: $891 to the doctor who performs it, and $4,266 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

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 67 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$891$724 to $1,349
Facility feeThe hospital or surgery center$4,266$1,820 to $6,918

How much rates vary

Facilitymedian $4,266 · 10th to 90th $933 to $10,471Professionalmedian $891 · 10th to 90th $646 to $2,138
$100$500$2K$10Kfacility $4,266professional $891

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
$812.83
Median
$3,981.07
Typical High
$12,022.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$776.25
Typical High
$1,778.28
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,344.23
Median
$5,495.41
Typical High
$12,022.64
BCBS
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$1,000.00
Typical High
$1,905.46
Cigna
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$2,089.30
Typical High
$6,309.57
Cigna
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$1,096.48
Typical High
$2,398.83
United
Setting
Facility
Modifier
Global
Typical Low
$1,445.44
Median
$3,981.07
Typical High
$9,120.11
United
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$912.01
Typical High
$1,819.70

What it costs in each state

The same service costs 6.1 times more in Indiana than in West Virginia. 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.

Physician feeFacility fee

Touch or drag across the chart to see any state's rate.

IN $8,905WV $1,455

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.