go back

Nerve Graft Repair Using Donor Nerve Tissue

Montana rates for HCPCS 64891

When a nerve has been cut or damaged badly enough that its ends cannot simply be sewn back together, a surgeon can bridge the gap using a short segment of nerve tissue taken from elsewhere in the patient's own body. This graft acts as a scaffold that allows the injured nerve fibers to regrow across the gap over time. It is a reconstructive procedure used after significant nerve injuries, not a same-day fix, since nerve regrowth happens gradually.

Rates data updated July 2026.

How much does Nerve Graft Repair Using Donor Nerve Tissue cost?

$1,862

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $1,862 for this service. The price depends on where it is billed: about $1,660 from a physician practice, and about $1,950 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 5 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$1,660$1,259 to $1,995
FacilityA hospital or hospital-owned outpatient department$1,950$1,862 to $2,042

How much rates vary

Facilitymedian $1,950 · 10th to 90th $1,479 to $2,399Professionalmedian $1,660 · 10th to 90th $1,000 to $3,020
$100$200$500$1K$2K$5K$10Kfacility $1,950professional $1,660

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
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$1,548.82
Typical High
$6,165.95
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,819.70
Median
$1,819.70
Typical High
$1,819.70
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,148.15
Median
$1,584.89
Typical High
$1,949.84
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$1,862.09
Median
$1,995.26
Typical High
$2,398.83
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$1,862.09
Median
$1,995.26
Typical High
$2,398.83
Providence
Setting
Facility
Modifier
Global
Typical Low
$1,148.15
Median
$1,659.59
Typical High
$2,290.87
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$1,584.89
Typical High
$2,344.23
United
Setting
Facility
Modifier
Global
Typical Low
$1,348.96
Median
$1,348.96
Typical High
$17,782.79
United
Setting
Professional
Modifier
Global
Typical Low
$1,230.27
Median
$1,905.46
Typical High
$2,238.72

Where Montana sits

The same service costs 3.8 times more in California than in Delaware. 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.

Montana· 17th of 51

$1,862

CA $4,266DE $1,122

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.