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Nerve Surgery to Improve Blood Flow to a Finger or Toe

Massachusetts 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?

$3,818

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

Insurers have agreed to pay about $3,818 for this procedure. That total is two separate charges: $1,000 to the doctor who performs it, and $2,818 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$1,000$776 to $1,622
Facility feeThe hospital or surgery center$2,818$1,072 to $3,981

How much rates vary

Facilitymedian $2,818 · 10th to 90th $759 to $5,623Professionalmedian $1,000 · 10th to 90th $708 to $2,188
$100$200$500$1K$2K$5K$10Kfacility $2,818professional $1,000

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
$758.58
Median
$3,388.44
Typical High
$5,623.41
Aetna
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$794.33
Typical High
$2,089.30
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$2,630.27
Typical High
$5,754.40
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$1,096.48
Typical High
$5,623.41
Cigna
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$1,122.02
Typical High
$2,089.30
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$1,000.00
Typical High
$3,467.37
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$954.99
Typical High
$1,348.96
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$2,041.74
Median
$4,265.80
Typical High
$9,772.37
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$1,318.26
Typical High
$2,089.30
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$2,630.27
Typical High
$5,754.40
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$1,096.48
Typical High
$5,623.41
United
Setting
Facility
Modifier
Global
Typical Low
$1,862.09
Median
$3,981.07
Typical High
$8,709.64
United
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$1,230.27
Typical High
$2,290.87

Where Massachusetts 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

Massachusetts· 26th of 50

$3,818

$1,000 physician + $2,818 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.