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Nerve Surgery to Improve Blood Flow to a Finger or Toe

Nebraska 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?

$8,503

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

Insurers have agreed to pay about $8,503 for this procedure. That total is two separate charges: $1,259 to the doctor who performs it, and $7,244 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$1,259$741 to $1,622
Facility feeThe hospital or surgery center$7,244$2,951 to $10,965

How much rates vary

Facilitymedian $7,244 · 10th to 90th $1,148 to $14,454Professionalmedian $1,259 · 10th to 90th $708 to $4,169
$1K$2K$5K$10K$20Kfacility $7,244professional $1,259

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
$6,025.60
Median
$8,511.38
Typical High
$14,454.40
Aetna
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$1,258.93
Typical High
$4,168.69
BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,019.95
Median
$3,890.45
Typical High
$7,585.78
BCBS
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$1,174.90
Typical High
$1,548.82
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,412.54
Median
$1,412.54
Typical High
$1,412.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$1,698.24
Typical High
$2,238.72
Medica
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$1,258.93
Typical High
$5,248.07
Medica
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$1,348.96
Typical High
$5,754.40
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,479.11
Median
$1,659.59
Typical High
$2,238.72
Midlands
Setting
Facility
Modifier
Global
Typical Low
$1,412.54
Median
$1,412.54
Typical High
$1,412.54
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,479.11
Median
$1,698.24
Typical High
$2,238.72
United
Setting
Facility
Modifier
Global
Typical Low
$1,148.15
Median
$2,951.21
Typical High
$6,760.83
United
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$1,548.82
Typical High
$1,995.26

Where Nebraska 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

Nebraska· 2nd of 50

$8,503

$1,259 physician + $7,244 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.