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Nerve Graft Repair Using Donor Nerve Tissue

Utah 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?

$1,738

Typical negotiated rate. In Utah, July 2026.

Insurers have agreed to pay about $1,738 for this service. The price depends on where it is billed: about $1,660 from a physician practice, and about $3,715 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 7 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$1,148 to $2,754
FacilityA hospital or hospital-owned outpatient department$3,715$3,162 to $4,786

How much rates vary

Facilitymedian $3,715 · 10th to 90th $1,660 to $9,120Professionalmedian $1,660 · 10th to 90th $1,023 to $6,166
$50$200$1K$5Kfacility $3,715professional $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
Facility
Modifier
Global
Typical Low
$1,659.59
Median
$3,715.35
Typical High
$4,897.79
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,047.13
Median
$1,659.59
Typical High
$6,165.95
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,148.15
Median
$1,584.89
Typical High
$2,511.89
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$2,754.23
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$9,120.11
Median
$12,882.50
Typical High
$19,054.61
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$1,659.59
Median
$2,137.96
Typical High
$3,235.94
Select Health
Setting
Facility
Modifier
Global
Typical Low
$2,089.30
Median
$2,089.30
Typical High
$2,089.30
Select Health
Setting
Professional
Modifier
Global
Typical Low
$1,230.27
Median
$1,862.09
Typical High
$2,187.76
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$1,698.24
Typical High
$2,570.40
United
Setting
Facility
Modifier
Global
Typical Low
$1,202.26
Median
$5,128.61
Typical High
$17,782.79
United
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,202.26
Typical High
$1,949.84

Where Utah 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.

Utah· 19th of 51

$1,738

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.