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Nerve Surgery to Improve Blood Flow to a Finger or Toe

New York 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?

$5,117

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

Insurers have agreed to pay about $5,117 for this procedure. That total is two separate charges: $851 to the doctor who performs it, and $4,266 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 9 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$851$676 to $1,259
Facility feeThe hospital or surgery center$4,266$2,630 to $6,457

How much rates vary

Facilitymedian $4,266 · 10th to 90th $1,023 to $9,333Professionalmedian $851 · 10th to 90th $603 to $2,188
$500$1K$2K$5K$10Kfacility $4,266professional $851

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
$891.25
Median
$3,019.95
Typical High
$10,232.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$851.14
Typical High
$1,905.46
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,630.27
Median
$4,786.30
Typical High
$9,120.11
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$691.83
Typical High
$1,862.09
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$1,023.29
Median
$1,023.29
Typical High
$10,964.78
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,023.29
Typical High
$1,023.29
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$1,230.27
Typical High
$1,230.27
Cigna
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$1,202.26
Typical High
$3,981.07
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$776.25
Median
$1,122.02
Typical High
$2,691.53
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$1,148.15
Typical High
$1,778.28
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$724.44
Typical High
$724.44
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$1,000.00
Typical High
$1,621.81
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$50,118.72
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$1,047.13
Typical High
$2,089.30
United
Setting
Facility
Modifier
Global
Typical Low
$2,290.87
Median
$3,981.07
Typical High
$8,709.64
United
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$1,122.02
Typical High
$3,801.89
Univera
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$891.25
Typical High
$3,311.31
Univera
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$912.01
Typical High
$2,089.30

Where New York 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 York· 12th of 50

$5,117

$851 physician + $4,266 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.