go back

Nerve Surgery to Improve Blood Flow to a Finger or Toe

Virginia 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?

$2,251

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

Insurers have agreed to pay about $2,251 for this procedure. That total is two separate charges: $871 to the doctor who performs it, and $1,380 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$871$776 to $1,175
Facility feeThe hospital or surgery center$1,380$851 to $5,370

How much rates vary

Facilitymedian $1,380 · 10th to 90th $741 to $8,913Professionalmedian $871 · 10th to 90th $676 to $1,905
$500$1K$2K$5K$10Kfacility $1,380professional $871

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
$812.83
Median
$5,011.87
Typical High
$14,125.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$812.83
Typical High
$1,202.26
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,090.30
Median
$3,981.07
Typical High
$4,466.84
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$1,096.48
Typical High
$1,905.46
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$933.25
Typical High
$6,760.83
Cigna
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$645.65
Typical High
$645.65
Cigna
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$912.01
Typical High
$1,659.59
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$851.14
Typical High
$1,000.00
Medcost
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$1,202.26
Typical High
$1,659.59
Medcost
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$933.25
Typical High
$1,479.11
Medcost
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$1,000.00
Typical High
$1,000.00
Sentara
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$954.99
Typical High
$7,413.10
Sentara
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$954.99
Typical High
$7,413.10
United
Setting
Facility
Modifier
Global
Typical Low
$3,715.35
Median
$6,165.95
Typical High
$13,182.57
United
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$891.25
Typical High
$1,445.44

Where Virginia 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

Virginia· 46th of 50

$2,251

$871 physician + $1,380 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.