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Nerve Surgery to Improve Blood Flow to a Finger or Toe

North Dakota 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?

$2,255

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

Insurers have agreed to pay about $2,255 for this procedure. That total is two separate charges: $1,514 to the doctor who performs it, and $741 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$1,514$741 to $1,778
Facility feeThe hospital or surgery center$741$724 to $1,288

How much rates vary

Facilitymedian $741 · 10th to 90th $724 to $8,511Professionalmedian $1,514 · 10th to 90th $724 to $1,995
$1K$2K$5Kfacility $741professional $1,514

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
$724.44
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$741.31
Typical High
$2,041.74
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,348.96
Median
$1,698.24
Typical High
$1,995.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$1,445.44
Typical High
$2,398.83
Medica
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$1,096.48
Typical High
$2,187.76
Medica
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$1,258.93
Typical High
$5,754.40
United
Setting
Facility
Modifier
Global
Typical Low
$3,890.45
Median
$4,677.35
Typical High
$5,128.61
United
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$1,258.93
Typical High
$1,905.46

Where North Dakota 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 Dakota· 45th of 50

$2,255

$1,514 physician + $741 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.