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Nerve Surgery to Improve Blood Flow to a Finger or Toe

Washington, DC 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?

$794

Typical physician fee. In Washington, DC, July 2026.

Insurers have agreed to pay about $794 for this service. Most negotiated rates run $794 to $1,698.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $2,951 · 10th to 90th $794 to $10,000Professionalmedian $794 · 10th to 90th $759 to $1,622
$1K$2K$5K$10K$20Kfacility $2,951professional $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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$794.33
Median
$2,137.96
Typical High
$7,762.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$794.33
Typical High
$1,174.90
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$1,949.84
Typical High
$7,943.28
Cigna
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$912.01
Typical High
$1,905.46
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$1,445.44
Typical High
$1,778.28
United
Setting
Facility
Modifier
Global
Typical Low
$2,344.23
Median
$8,912.51
Typical High
$26,302.68
United
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$1,047.13
Typical High
$2,041.74

Where Washington, DC sits

The same service costs 5.4 times more in California than in Delaware. 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.

Washington, DC· 46th of 51

$794

CA $3,981DE $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.