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Nerve Surgery to Improve Blood Flow to a Finger or Toe

Delaware 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?

$2,220

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

Insurers have agreed to pay about $2,220 for this procedure. That total is two separate charges: $741 to the doctor who performs it, and $1,479 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 3 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$741$692 to $794
Facility feeThe hospital or surgery center$1,479$1,000 to $7,244

How much rates vary

Facilitymedian $1,479 · 10th to 90th $776 to $7,244Professionalmedian $741 · 10th to 90th $676 to $1,445
$1K$2K$5Kfacility $1,479professional $741

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
$7,244.36
Median
$7,244.36
Typical High
$7,244.36
Aetna
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$741.31
Typical High
$2,041.74
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,047.13
Median
$1,047.13
Typical High
$1,047.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$831.76
Typical High
$1,348.96
United
Setting
Facility
Modifier
Global
Typical Low
$776.25
Median
$1,000.00
Typical High
$1,479.11
United
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$794.33
Typical High
$1,318.26

Where Delaware 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

Delaware· 47th of 50

$2,220

$741 physician + $1,479 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.