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Nerve Surgery to Improve Blood Flow to a Finger or Toe

Oregon 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?

$2,762

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

Insurers have agreed to pay about $2,762 for this procedure. That total is two separate charges: $1,349 to the doctor who performs it, and $1,413 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 8 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$1,349$977 to $1,738
Facility feeThe hospital or surgery center$1,413$1,148 to $1,514

How much rates vary

Facilitymedian $1,413 · 10th to 90th $851 to $2,692Professionalmedian $1,349 · 10th to 90th $708 to $2,138
$100$500$2K$10Kfacility $1,413professional $1,349

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
$1,445.44
Median
$1,995.26
Typical High
$7,943.28
Aetna
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$776.25
Typical High
$2,454.71
Cigna
Setting
Facility
Modifier
Global
Typical Low
$851.14
Median
$851.14
Typical High
$851.14
Cigna
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$1,412.54
Typical High
$2,041.74
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$1,122.02
Median
$1,513.56
Typical High
$1,862.09
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$1,148.15
Typical High
$1,621.81
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$1,148.15
Median
$1,348.96
Typical High
$1,995.26
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$1,412.54
Typical High
$1,513.56
Providence
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$1,174.90
Typical High
$1,778.28
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$1,412.54
Typical High
$2,041.74
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$4,897.79
Median
$6,309.57
Typical High
$7,762.47
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$1,318.26
Median
$1,778.28
Typical High
$2,290.87
United
Setting
Facility
Modifier
Global
Typical Low
$2,818.38
Median
$8,128.31
Typical High
$12,022.64
United
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$1,380.38
Typical High
$2,089.30

Where Oregon 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

Oregon· 38th of 50

$2,762

$1,349 physician + $1,413 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.