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Nerve Surgery to Improve Blood Flow to a Finger or Toe

Kentucky 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?

$4,706

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

Insurers have agreed to pay about $4,706 for this procedure. That total is two separate charges: $724 to the doctor who performs it, and $3,981 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$724$661 to $912
Facility feeThe hospital or surgery center$3,981$851 to $8,511

How much rates vary

Facilitymedian $3,981 · 10th to 90th $724 to $11,220Professionalmedian $724 · 10th to 90th $617 to $1,230
$50$200$1K$5Kfacility $3,981professional $724

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
$724.44
Median
$794.33
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$707.95
Typical High
$1,412.54
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$10,715.19
Typical High
$11,220.18
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$741.31
Typical High
$1,023.29
CareSource
Setting
Facility
Modifier
Global
Typical Low
$691.83
Median
$954.99
Typical High
$1,202.26
CareSource
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$933.25
Typical High
$1,122.02
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$1,230.27
Typical High
$1,230.27
Cigna
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$1,148.15
Typical High
$4,073.80
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$549.54
United
Setting
Facility
Modifier
Global
Typical Low
$794.33
Median
$3,388.44
Typical High
$6,025.60
United
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$912.01
Typical High
$1,380.38

Where Kentucky 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

Kentucky· 18th of 50

$4,706

$724 physician + $3,981 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.