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Nerve Surgery to Improve Blood Flow to a Finger or Toe

Alaska 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?

$3,454

Typical total for the visit. In Alaska, July 2026.

Insurers have agreed to pay about $3,454 for this procedure. That total is two separate charges: $2,042 to the doctor who performs it, and $1,413 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 6 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$2,042$708 to $3,162
Facility feeThe hospital or surgery center$1,413$871 to $2,570

How much rates vary

Facilitymedian $1,413 · 10th to 90th $724 to $5,129Professionalmedian $2,042 · 10th to 90th $708 to $3,981
$1K$2K$5K$10Kfacility $1,413professional $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
$676.08
Median
$758.58
Typical High
$3,630.78
Cigna
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$1,148.15
Typical High
$2,398.83
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$1,122.02
Typical High
$3,981.07
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$1,737.80
Median
$2,570.40
Typical High
$4,073.80
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$3,162.28
Median
$3,162.28
Typical High
$4,265.80
Providence
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$1,122.02
Typical High
$3,981.07
Providence
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$977.24
Typical High
$2,398.83
United
Setting
Facility
Modifier
Global
Typical Low
$1,548.82
Median
$1,548.82
Typical High
$3,981.07
United
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$1,949.84
Typical High
$4,365.16

Where Alaska sits

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

Alaska· 32nd of 50

$3,454

$2,042 physician + $1,413 facility

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.