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Nerve Surgery to Improve Blood Flow to a Finger or Toe

Arkansas 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?

$2,671

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

Insurers have agreed to pay about $2,671 for this procedure. That total is two separate charges: $851 to the doctor who performs it, and $1,820 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 4 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$851$708 to $977
Facility feeThe hospital or surgery center$1,820$1,288 to $2,089

How much rates vary

Facilitymedian $1,820 · 10th to 90th $912 to $2,512Professionalmedian $851 · 10th to 90th $631 to $1,148
$1K$2K$5Kfacility $1,820professional $851

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
$870.96
Median
$1,698.24
Typical High
$2,454.71
Aetna
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$851.14
Typical High
$1,071.52
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,819.70
Median
$1,819.70
Typical High
$2,511.89
BCBS
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$851.14
Typical High
$1,148.15
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,905.46
Median
$1,905.46
Typical High
$1,905.46
Cigna
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$1,047.13
Typical High
$1,548.82
United
Setting
Facility
Modifier
Global
Typical Low
$1,023.29
Median
$2,290.87
Typical High
$5,495.41
United
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$851.14
Typical High
$1,445.44

Where Arkansas 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

Arkansas· 40th of 50

$2,671

$851 physician + $1,820 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.