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Nerve Surgery to Improve Blood Flow to a Finger or Toe

New Hampshire 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?

$3,521

Typical total for the visit. In New Hampshire, July 2026.

Insurers have agreed to pay about $3,521 for this procedure. That total is two separate charges: $1,122 to the doctor who performs it, and $2,399 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$1,122$851 to $1,479
Facility feeThe hospital or surgery center$2,399$1,698 to $3,020

How much rates vary

Facilitymedian $2,399 · 10th to 90th $933 to $9,772Professionalmedian $1,122 · 10th to 90th $759 to $1,820
$100$200$500$1K$2K$5K$10Kfacility $2,399professional $1,122

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
$100.00
Median
$2,691.53
Typical High
$9,772.37
Aetna
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$851.14
Typical High
$1,096.48
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,584.89
Median
$1,737.80
Typical High
$3,019.95
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$1,445.44
Typical High
$2,041.74
Cigna
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$1,230.27
Typical High
$2,137.96
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$9,549.93
Median
$9,549.93
Typical High
$9,549.93
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$1,174.90
Typical High
$1,737.80
United
Setting
Facility
Modifier
Global
Typical Low
$9,549.93
Median
$9,549.93
Typical High
$9,549.93
United
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$1,148.15
Typical High
$2,187.76
Well Sense
Setting
Facility
Modifier
Global
Typical Low
$426.58
Median
$436.52
Typical High
$933.25

Where New Hampshire 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

New Hampshire· 31st of 50

$3,521

$1,122 physician + $2,399 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.