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Nerve Surgery to Improve Blood Flow to a Finger or Toe

South Dakota 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?

$2,576

Typical total for the visit. In South Dakota, July 2026.

Insurers have agreed to pay about $2,576 for this procedure. That total is two separate charges: $1,288 to the doctor who performs it, and $1,288 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 7 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$1,288$759 to $1,778
Facility feeThe hospital or surgery center$1,288$1,047 to $1,905

How much rates vary

Facilitymedian $1,288 · 10th to 90th $912 to $4,365Professionalmedian $1,288 · 10th to 90th $631 to $2,089
$1K$2K$5Kfacility $1,288professional $1,288

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. Small sample; interpret with caution. 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
$4,365.16
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$741.31
Typical High
$1,778.28
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,380.38
Median
$1,778.28
Typical High
$2,238.72
Medica
Setting
Facility
Modifier
Global
Typical Low
$912.01
Median
$1,230.27
Typical High
$1,862.09
Medica
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$1,288.25
Typical High
$5,754.40
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,513.56
Median
$1,621.81
Typical High
$1,659.59
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,513.56
Median
$1,513.56
Typical High
$1,584.89
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$1,230.27
Typical High
$1,513.56
United
Setting
Facility
Modifier
Global
Typical Low
$2,691.53
Median
$2,691.53
Typical High
$3,981.07
United
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$1,230.27
Typical High
$1,995.26
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$1,412.54
Median
$1,445.44
Typical High
$1,698.24

Where South Dakota 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

South Dakota· 41st of 50

$2,576

$1,288 physician + $1,288 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.