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Anesthesia for Heart Surgery With Circulatory Arrest

Nationwide rates for HCPCS 00563

Anesthesia care for heart or great-vessel surgery in which the body is deliberately cooled far below normal temperature and blood flow is stopped altogether for part of the operation, so the surgeon can work in a bloodless field. The anesthesia team runs the cooling and rewarming, protects the brain during the period without circulation, and manages heart-lung machine support around it. The surgeon's work is charged separately.

Rates data updated October 2026.

How much rates vary

Facilitymedian $468 · 10th to 90th $35 to $2,089Professionalmedian $1,000 · 10th to 90th $40 to $2,399
$0.1$1$10$100$1Kfacility $468professional $1,000

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$34.67
Median
$1,445.44
Typical High
$2,344.23
Aetna
Setting
Professional
Modifier
None
Typical Low
$30.20
Median
$47.86
Typical High
$2,041.74
AllWays Health Partners
Setting
Facility
Modifier
None
Typical Low
$147.91
Median
$239.88
Typical High
$575.44
AllWays Health Partners
Setting
Professional
Modifier
None
Typical Low
$33.11
Median
$89.13
Typical High
$6,165.95
AmeriHealth
Setting
Professional
Modifier
None
Typical Low
$1,698.24
Median
$1,778.28
Typical High
$2,630.27
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$870.96
Median
$1,202.26
Typical High
$2,454.71
Asuris Northwest Health
Setting
Professional
Modifier
None
Typical Low
$1,380.38
Median
$1,698.24
Typical High
$6,165.95
AvMed
Setting
Professional
Modifier
None
Typical Low
$21.38
Median
$22.91
Typical High
$25.12
BCBS Alabama
Setting
Facility
Modifier
None
Typical Low
$34.67
Median
$34.67
Typical High
$34.67
BCBS Arizona
Setting
Professional
Modifier
None
Typical Low
$1,000.00
Median
$1,148.15
Typical High
$1,698.24
BCBS Idaho
Setting
Professional
Modifier
None
Typical Low
$1,318.26
Median
$1,548.82
Typical High
$1,819.70
BCBS Illinois
Setting
Professional
Modifier
None
Typical Low
$1,174.90
Median
$1,318.26
Typical High
$1,548.82
BCBS Kansas
Setting
Professional
Modifier
None
Typical Low
$1,862.09
Median
$1,862.09
Typical High
$1,862.09
BCBS Kansas City
Setting
Professional
Modifier
None
Typical Low
$51.29
Median
$54.95
Typical High
$58.88
BCBS Louisiana
Setting
Facility
Modifier
None
Typical Low
$0.02
Median
$0.02
Typical High
$0.03
BCBS Louisiana
Setting
Professional
Modifier
None
Typical Low
$52.48
Median
$52.48
Typical High
$52.48
BCBS Montana
Setting
Professional
Modifier
None
Typical Low
$2,089.30
Median
$2,089.30
Typical High
$2,089.30
BCBS Nebraska
Setting
Facility
Modifier
None
Typical Low
$44.67
Median
$60.26
Typical High
$123.03
BCBS Nebraska
Setting
Professional
Modifier
None
Typical Low
$1,949.84
Median
$1,995.26
Typical High
$1,995.26
BCBS New Mexico
Setting
Professional
Modifier
None
Typical Low
$478.63
Median
$977.24
Typical High
$1,047.13
BCBS Oklahoma
Setting
Professional
Modifier
None
Typical Low
$954.99
Median
$1,348.96
Typical High
$1,584.89
BCBS Rhode Island
Setting
Professional
Modifier
None
Typical Low
$40.74
Median
$47.86
Typical High
$83.18
BCBS Texas
Setting
Professional
Modifier
None
Typical Low
$1,148.15
Median
$1,380.38
Typical High
$2,818.38
BCBS Vermont
Setting
Professional
Modifier
None
Typical Low
$1,288.25
Median
$1,288.25
Typical High
$1,949.84
BCBS Wyoming
Setting
Professional
Modifier
None
Typical Low
$79.43
Median
$79.43
Typical High
$79.43
Blue Shield
Setting
Professional
Modifier
None
Typical Low
$831.76
Median
$1,202.26
Typical High
$1,412.54
Capital Blue Cross
Setting
Professional
Modifier
None
Typical Low
$891.25
Median
$1,659.59
Typical High
$2,187.76
CareFirst
Setting
Professional
Modifier
None
Typical Low
$2.95
Median
$3.31
Typical High
$3.47
CareSource
Setting
Facility
Modifier
None
Typical Low
$309.03
Median
$616.60
Typical High
$1,230.27
CareSource
Setting
Professional
Modifier
None
Typical Low
$323.59
Median
$512.86
Typical High
$1,071.52
Central California Alliance for Health
Setting
Professional
Modifier
None
Typical Low
$19.50
Median
$25.12
Typical High
$25.12
Christus
Setting
Facility
Modifier
None
Typical Low
$371.54
Median
$371.54
Typical High
$371.54
Cigna
Setting
Facility
Modifier
None
Typical Low
$61.66
Median
$61.66
Typical High
$61.66
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,096.48
Median
$1,584.89
Typical High
$2,511.89
ConnectiCare
Setting
Professional
Modifier
None
Typical Low
$489.78
Median
$2,238.72
Typical High
$3,388.44
Contra Costa Health
Setting
Professional
Modifier
None
Typical Low
$398.11
Median
$588.84
Typical High
$794.33
DeanCare
Setting
Facility
Modifier
None
Typical Low
$60.26
Median
$74.13
Typical High
$120.23
DeanCare
Setting
Professional
Modifier
None
Typical Low
$41.69
Median
$41.69
Typical High
$87.10
Denver HMP
Setting
Facility
Modifier
None
Typical Low
$1,905.46
Median
$3,388.44
Typical High
$3,630.78
Emblem Health
Setting
Professional
Modifier
None
Typical Low
$190.55
Median
$602.56
Typical High
$3,801.89
Excellus BCBS
Setting
Professional
Modifier
None
Typical Low
$416.87
Median
$501.19
Typical High
$1,778.28
Fallon Health
Setting
Facility
Modifier
None
Typical Low
$21.38
Median
$30.20
Typical High
$5,888.44
Florida Blue
Setting
Professional
Modifier
None
Typical Low
$19.05
Median
$38.02
Typical High
$44.67
Hally Health
Setting
Professional
Modifier
None
Typical Low
$660.69
Median
$1,380.38
Typical High
$1,905.46
Hally Health
Setting
Facility
Modifier
None
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
None
Typical Low
$1,000.00
Median
$1,000.00
Typical High
$1,174.90
Harvard Pilgrim
Setting
Professional
Modifier
None
Typical Low
$47.86
Median
$61.66
Typical High
$100.00
Health Alliance Plan
Setting
Facility
Modifier
None
Typical Low
$1,288.25
Median
$1,380.38
Typical High
$1,862.09
Health Alliance Plan
Setting
Professional
Modifier
None
Typical Low
$50.12
Median
$52.48
Typical High
$1,819.70
Hometown Health
Setting
Professional
Modifier
None
Typical Low
$1,258.93
Median
$1,698.24
Typical High
$2,691.53
Independence Blue Cross
Setting
Professional
Modifier
None
Typical Low
$1,698.24
Median
$1,698.24
Typical High
$1,778.28
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$851.14
Median
$1,348.96
Typical High
$2,691.53
Lucent Health
Setting
Professional
Modifier
None
Typical Low
$6,165.95
Median
$6,165.95
Typical High
$6,165.95
MVP Health Care
Setting
Professional
Modifier
None
Typical Low
$794.33
Median
$2,187.76
Typical High
$3,235.94
Martin's Point
Setting
Facility
Modifier
None
Typical Low
$30.20
Median
$1,905.46
Typical High
$2,344.23
Martin's Point
Setting
Professional
Modifier
None
Typical Low
$30.20
Median
$30.20
Typical High
$1,819.70
Mass General Brigham
Setting
Facility
Modifier
None
Typical Low
$147.91
Median
$239.88
Typical High
$575.44
Mass General Brigham
Setting
Professional
Modifier
None
Typical Low
$33.11
Median
$89.13
Typical High
$6,165.95
Medica
Setting
Facility
Modifier
None
Typical Low
$81.28
Median
$81.28
Typical High
$85.11
Medica
Setting
Professional
Modifier
None
Typical Low
$39.81
Median
$67.61
Typical High
$5,888.44
Medical Mutual of Ohio
Setting
Professional
Modifier
None
Typical Low
$933.25
Median
$1,380.38
Typical High
$2,089.30
Moda Health
Setting
Facility
Modifier
None
Typical Low
$43.65
Median
$1,621.81
Typical High
$2,344.23
Moda Health
Setting
Professional
Modifier
None
Typical Low
$41.69
Median
$52.48
Typical High
$1,995.26
Molina
Setting
Professional
Modifier
None
Typical Low
$234.42
Median
$588.84
Typical High
$2,754.23
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$52.48
Median
$61.66
Typical High
$67.61
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$53.70
Median
$64.57
Typical High
$72.44
Network Health
Setting
Professional
Modifier
None
Typical Low
$2,089.30
Median
$2,454.71
Typical High
$3,019.95
Oscar Health
Setting
Professional
Modifier
None
Typical Low
$20.89
Median
$30.20
Typical High
$54.95
Pacific Source
Setting
Facility
Modifier
None
Typical Low
$1,174.90
Median
$1,412.54
Typical High
$1,995.26
Physicians Health Plan of Northern Indiana
Setting
Facility
Modifier
None
Typical Low
$912.01
Median
$954.99
Typical High
$2,290.87
Premera BCBS
Setting
Professional
Modifier
None
Typical Low
$1,348.96
Median
$1,348.96
Typical High
$2,398.83
Priority Health
Setting
Professional
Modifier
None
Typical Low
$2,398.83
Median
$2,398.83
Typical High
$2,398.83
Providence
Setting
Facility
Modifier
None
Typical Low
$2,344.23
Median
$5,128.61
Typical High
$5,128.61
Providence
Setting
Professional
Modifier
None
Typical Low
$891.25
Median
$1,513.56
Typical High
$2,089.30
Quartz
Setting
Professional
Modifier
None
Typical Low
$1,584.89
Median
$2,041.74
Typical High
$3,311.31
Quartz
Setting
Professional
Modifier
None
Typical Low
$1,288.25
Median
$1,548.82
Typical High
$2,570.40
Regence BlueShield
Setting
Professional
Modifier
None
Typical Low
$1,380.38
Median
$1,548.82
Typical High
$1,995.26
Security Health
Setting
Professional
Modifier
None
Typical Low
$2,137.96
Median
$2,137.96
Typical High
$2,137.96
Security Health
Setting
Professional
Modifier
None
Typical Low
$1,819.70
Median
$2,884.03
Typical High
$3,630.78
Select Health
Setting
Facility
Modifier
None
Typical Low
$4,265.80
Median
$4,265.80
Typical High
$4,265.80
Select Health
Setting
Professional
Modifier
None
Typical Low
$1,047.13
Median
$1,949.84
Typical High
$2,137.96
Sentara
Setting
Facility
Modifier
None
Typical Low
$19.05
Median
$30.90
Typical High
$97.72
Sentara
Setting
Professional
Modifier
None
Typical Low
$21.88
Median
$64.57
Typical High
$87.10
SummaCare
Setting
Professional
Modifier
None
Typical Low
$537.03
Median
$1,258.93
Typical High
$1,862.09
Sutter Health Plus
Setting
Professional
Modifier
None
Typical Low
$2,398.83
Median
$2,398.83
Typical High
$2,398.83
The Alliance
Setting
Professional
Modifier
None
Typical Low
$1,023.29
Median
$2,187.76
Typical High
$3,388.44
U of Utah Health Plan
Setting
Professional
Modifier
None
Typical Low
$1,548.82
Median
$1,778.28
Typical High
$1,905.46
United
Setting
Professional
Modifier
None
Typical Low
$39.81
Median
$57.54
Typical High
$89.13
Univera
Setting
Facility
Modifier
None
Typical Low
$512.86
Median
$512.86
Typical High
$1,096.48
Univera
Setting
Professional
Modifier
None
Typical Low
$416.87
Median
$501.19
Typical High
$1,778.28
University Health Alliance
Setting
Professional
Modifier
None
Typical Low
$10.00
Median
$48.98
Typical High
$66.07
Well Sense
Setting
Facility
Modifier
None
Typical Low
$575.44
Median
$776.25
Typical High
$1,318.26
Well Sense
Setting
Professional
Modifier
None
Typical Low
$512.86
Median
$512.86
Typical High
$616.60
Wellmark
Setting
Professional
Modifier
None
Typical Low
$1,621.81
Median
$1,778.28
Typical High
$2,238.72
Wellpoint
Setting
Professional
Modifier
None
Typical Low
$25.12
Median
$25.12
Typical High
$446.68
43 more rates with less common billing modifiers

A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.

Insurance Carrier
Ambetter
Setting
Professional
Modifier
AA · Anesthesiologist
Typical Low
$1,412.54
Median
$4,265.80
Typical High
$5,128.61
Ambetter
Setting
Professional
Modifier
QK · Directing 2–4 cases
Typical Low
$645.65
Median
$2,137.96
Typical High
$4,073.80
Ambetter
Setting
Professional
Modifier
QX · CRNA, directed
Typical Low
$645.65
Median
$3,388.44
Typical High
$7,244.36
Ambetter
Setting
Professional
Modifier
QZ · CRNA, independent
Typical Low
$1,023.29
Median
$3,388.44
Typical High
$3,388.44
Aultcare
Setting
Professional
Modifier
AA · Anesthesiologist
Typical Low
$1,862.09
Median
$2,041.74
Typical High
$2,951.21
BCBS Alabama
Setting
Professional
Modifier
21 + 22 · Increased work + 24 · Unrelated visit after surgery
Typical Low
$1,698.24
Median
$1,698.24
Typical High
$1,698.24
BCBS Idaho
Setting
Professional
Modifier
78 · Unplanned return to OR
Typical Low
$912.01
Median
$1,230.27
Typical High
$1,288.25
BCBS Massachusetts
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$1,479.11
Median
$1,479.11
Typical High
$2,691.53
BCBS Michigan
Setting
Professional
Modifier
QX · CRNA, directed
Typical Low
$977.24
Median
$977.24
Typical High
$977.24
BCBS Michigan
Setting
Professional
Modifier
QZ · CRNA, independent
Typical Low
$1,862.09
Median
$1,862.09
Typical High
$1,862.09
BCBS Minnesota
Setting
Professional
Modifier
QX · CRNA, directed
Typical Low
$51.29
Median
$72.44
Typical High
$79.43
BCBS South Carolina
Setting
Professional
Modifier
AA · Anesthesiologist
Typical Low
$870.96
Median
$933.25
Typical High
$1,659.59
BCBS South Carolina
Setting
Professional
Modifier
QX · CRNA, directed
Typical Low
$251.19
Median
$436.52
Typical High
$794.33
BCBS South Carolina
Setting
Professional
Modifier
QZ · CRNA, independent
Typical Low
$707.95
Median
$851.14
Typical High
$1,047.13
BCBS Wyoming
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$56.23
Median
$56.23
Typical High
$56.23
BCBS Wyoming
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$15.85
Median
$15.85
Typical High
$15.85
BCBS Wyoming
Setting
Professional
Modifier
AD · Supervising 5+
Typical Low
$239.88
Median
$239.88
Typical High
$239.88
CareFirst
Setting
Professional
Modifier
NA
Typical Low
$2.95
Median
$3.16
Typical High
$5.62
Cigna
Setting
Professional
Modifier
AA · Anesthesiologist
Typical Low
$1,819.70
Median
$2,290.87
Typical High
$3,467.37
Geisinger
Setting
Professional
Modifier
AA · Anesthesiologist
Typical Low
$602.56
Median
$1,380.38
Typical High
$2,041.74
Geisinger
Setting
Professional
Modifier
AD · Supervising 5+
Typical Low
$602.56
Median
$1,380.38
Typical High
$2,041.74
Geisinger
Setting
Professional
Modifier
QK · Directing 2–4 cases
Typical Low
$602.56
Median
$1,380.38
Typical High
$2,041.74
Geisinger
Setting
Professional
Modifier
QX · CRNA, directed
Typical Low
$602.56
Median
$1,380.38
Typical High
$2,041.74
Geisinger
Setting
Professional
Modifier
QY · Directing one CRNA
Typical Low
$602.56
Median
$1,380.38
Typical High
$2,041.74
Geisinger
Setting
Professional
Modifier
QZ · CRNA, independent
Typical Low
$602.56
Median
$1,380.38
Typical High
$2,041.74
HMSA
Setting
Professional
Modifier
AA · Anesthesiologist
Typical Low
$4.17
Median
$4.17
Typical High
$4.17
HMSA
Setting
Professional
Modifier
QS · Monitored anesthesia care
Typical Low
$4.68
Median
$4.68
Typical High
$4.68
Health Partners
Setting
Professional
Modifier
AA · Anesthesiologist
Typical Low
$1,380.38
Median
$2,089.30
Typical High
$5,495.41
Highmark BCBS
Setting
Professional
Modifier
AA · Anesthesiologist
Typical Low
$2,089.30
Median
$3,630.78
Typical High
$6,309.57
Kaiser Permanente
Setting
Professional
Modifier
P3 · Severe systemic disease
Typical Low
$776.25
Median
$1,778.28
Typical High
$2,951.21
Kaiser Permanente
Setting
Professional
Modifier
P4 · Life-threatening disease
Typical Low
$776.25
Median
$1,819.70
Typical High
$3,019.95
Kaiser Permanente
Setting
Professional
Modifier
P5 · Not expected to survive without surgery
Typical Low
$776.25
Median
$1,905.46
Typical High
$3,162.28
Physicians Health Plan of Northern Indiana
Setting
Professional
Modifier
P3 · Severe systemic disease
Typical Low
$933.25
Median
$1,479.11
Typical High
$1,949.84
Physicians Health Plan of Northern Indiana
Setting
Professional
Modifier
P4 · Life-threatening disease
Typical Low
$977.24
Median
$1,513.56
Typical High
$1,995.26
Physicians Health Plan of Northern Indiana
Setting
Professional
Modifier
P5 · Not expected to survive without surgery
Typical Low
$1,023.29
Median
$1,584.89
Typical High
$2,089.30
Security Health
Setting
Professional
Modifier
AD · Supervising 5+
Typical Low
$208.93
Median
$338.84
Typical High
$416.87
Security Health
Setting
Professional
Modifier
P1 · Healthy patient
Typical Low
$1,819.70
Median
$1,819.70
Typical High
$3,801.89
Security Health
Setting
Professional
Modifier
P2 · Mild systemic disease
Typical Low
$1,819.70
Median
$1,819.70
Typical High
$3,801.89
Security Health
Setting
Professional
Modifier
P3 · Severe systemic disease
Typical Low
$1,862.09
Median
$1,862.09
Typical High
$3,981.07
Security Health
Setting
Professional
Modifier
P4 · Life-threatening disease
Typical Low
$1,949.84
Median
$1,949.84
Typical High
$4,168.69
Security Health
Setting
Professional
Modifier
P5 · Not expected to survive without surgery
Typical Low
$2,041.74
Median
$2,041.74
Typical High
$4,265.80
Security Health
Setting
Professional
Modifier
P6 · Organ donor
Typical Low
$1,819.70
Median
$1,819.70
Typical High
$3,801.89
Wellmark
Setting
Professional
Modifier
QX · CRNA, directed
Typical Low
$1,023.29
Median
$1,122.02
Typical High
$1,122.02