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Nerve Surgery to Improve Blood Flow to a Finger or Toe

Michigan 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?

$2,534

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

Insurers have agreed to pay about $2,534 for this procedure. That total is two separate charges: $912 to the doctor who performs it, and $1,622 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 5 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$912$759 to $1,096
Facility feeThe hospital or surgery center$1,622$977 to $4,898

How much rates vary

Facilitymedian $1,622 · 10th to 90th $912 to $5,754Professionalmedian $912 · 10th to 90th $631 to $1,549
$200$500$1K$2K$5K$10Kfacility $1,622professional $912

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
$912.01
Median
$1,071.52
Typical High
$4,897.79
Aetna
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$776.25
Typical High
$1,174.90
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,621.81
Median
$1,621.81
Typical High
$1,621.81
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,148.15
Typical High
$1,621.81
Cigna
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$912.01
Typical High
$2,570.40
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$977.24
Median
$2,290.87
Typical High
$4,897.79
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$870.96
Typical High
$1,202.26
United
Setting
Facility
Modifier
Global
Typical Low
$1,548.82
Median
$3,890.45
Typical High
$7,244.36
United
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$891.25
Typical High
$1,174.90

Where Michigan 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

Michigan· 42nd of 50

$2,534

$912 physician + $1,622 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.