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Nerve Surgery to Improve Blood Flow to a Finger or Toe

North Carolina 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?

$2,357

Typical total for the visit. In North Carolina, July 2026.

Insurers have agreed to pay about $2,357 for this procedure. That total is two separate charges: $912 to the doctor who performs it, and $1,445 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$912$708 to $1,413
Facility feeThe hospital or surgery center$1,445$912 to $6,607

How much rates vary

Facilitymedian $1,445 · 10th to 90th $708 to $14,454Professionalmedian $912 · 10th to 90th $692 to $2,042
$1K$2K$5K$10Kfacility $1,445professional $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
$707.95
Median
$2,691.53
Typical High
$14,454.40
Aetna
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$794.33
Typical High
$1,513.56
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$1,445.44
Median
$1,445.44
Typical High
$1,445.44
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,445.44
Median
$1,445.44
Typical High
$1,479.11
BCBS
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$1,071.52
Typical High
$2,089.30
Cigna
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$1,230.27
Typical High
$1,659.59
Cigna
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$1,047.13
Typical High
$1,819.70
Medcost
Setting
Professional
Modifier
Global
Typical Low
$1,202.26
Median
$1,202.26
Typical High
$1,659.59
Medcost
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$977.24
Typical High
$1,513.56
United
Setting
Facility
Modifier
Global
Typical Low
$1,778.28
Median
$6,309.57
Typical High
$10,715.19
United
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$812.83
Typical High
$1,445.44
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$5,370.32
Typical High
$5,370.32
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$5,623.41
Median
$5,623.41
Typical High
$6,606.93

Where North Carolina 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

North Carolina· 44th of 50

$2,357

$912 physician + $1,445 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.