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Nerve Surgery to Improve Blood Flow to a Finger or Toe

Iowa 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?

$5,994

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

Insurers have agreed to pay about $5,994 for this procedure. That total is two separate charges: $1,096 to the doctor who performs it, and $4,898 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 7 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$1,096$759 to $1,778
Facility feeThe hospital or surgery center$4,898$1,660 to $6,457

How much rates vary

Facilitymedian $4,898 · 10th to 90th $1,096 to $7,943Professionalmedian $1,096 · 10th to 90th $708 to $2,512
$1K$2K$5K$10Kfacility $4,898professional $1,096

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
$1,096.48
Median
$6,456.54
Typical High
$11,481.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$794.33
Typical High
$4,786.30
Cigna
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$1,778.28
Typical High
$2,238.72
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$1,071.52
Typical High
$2,511.89
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,000.00
Median
$1,862.09
Typical High
$5,888.44
Medica
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$1,412.54
Typical High
$5,754.40
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,479.11
Median
$1,659.59
Typical High
$2,511.89
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,412.54
Median
$1,412.54
Typical High
$2,089.30
United
Setting
Facility
Modifier
Global
Typical Low
$2,818.38
Median
$4,897.79
Typical High
$6,456.54
United
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$1,071.52
Typical High
$2,089.30
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$1,412.54
Typical High
$1,659.59

Where Iowa 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

Iowa· 8th of 50

$5,994

$1,096 physician + $4,898 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.