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Nerve Surgery to Improve Blood Flow to a Finger or Toe

Nevada 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?

$4,685

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

Insurers have agreed to pay about $4,685 for this procedure. That total is two separate charges: $794 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$794$724 to $1,072
Facility feeThe hospital or surgery center$3,890$776 to $5,012

How much rates vary

Facilitymedian $3,890 · 10th to 90th $724 to $7,244Professionalmedian $794 · 10th to 90th $676 to $1,549
$20$100$500$2K$10Kfacility $3,890professional $794

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
$2,137.96
Typical High
$10,232.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$776.25
Typical High
$4,168.69
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,801.89
Median
$4,073.80
Typical High
$5,888.44
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$1,047.13
Typical High
$1,348.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$933.25
Typical High
$1,445.44
Hometown Health
Setting
Professional
Modifier
Global
Typical Low
$10.47
Median
$724.44
Typical High
$1,174.90
Hometown Health
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,023.29
Typical High
$1,023.29
Select Health
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$691.83
Typical High
$691.83
Select Health
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$616.60
Typical High
$1,288.25
United
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$2,187.76
Typical High
$4,265.80
United
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$851.14
Typical High
$1,380.38

Where Nevada 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

Nevada· 19th of 50

$4,685

$794 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.