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Nerve Surgery to Improve Blood Flow to a Finger or Toe

Missouri 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?

$4,761

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

Insurers have agreed to pay about $4,761 for this procedure. That total is two separate charges: $871 to the doctor who performs it, and $3,890 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$871$759 to $1,175
Facility feeThe hospital or surgery center$3,890$2,239 to $5,370

How much rates vary

Facilitymedian $3,890 · 10th to 90th $1,122 to $7,762Professionalmedian $871 · 10th to 90th $661 to $2,512
$1K$2K$5K$10Kfacility $3,890professional $871

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
$8,511.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$794.33
Typical High
$4,265.80
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,238.72
Median
$4,570.88
Typical High
$8,317.64
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$870.96
Typical High
$1,348.96
BCBS
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$851.14
Typical High
$1,148.15
Cigna
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$977.24
Typical High
$1,548.82
Medica
Setting
Facility
Modifier
Global
Typical Low
$549.54
Median
$1,071.52
Typical High
$3,890.45
Medica
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$1,122.02
Typical High
$5,754.40
United
Setting
Facility
Modifier
Global
Typical Low
$1,479.11
Median
$2,630.27
Typical High
$4,677.35
United
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$977.24
Typical High
$1,548.82

Where Missouri 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

Missouri· 17th of 50

$4,761

$871 physician + $3,890 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.