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Anesthesia for Shock Wave Treatment of Kidney Stones

Georgia rates for HCPCS 00872

Anesthesia care during shock wave lithotripsy, in which focused sound waves aimed from outside the body break a kidney stone into fragments small enough to pass in the urine. The anesthesia team keeps the patient still and pain-free while the shocks are delivered and monitors breathing and heart rhythm throughout. The doctor carrying out the treatment charges separately.

Rates data updated July 2026.

How much rates vary

Professionalmedian $195 · 10th to 90th $195 to $263
$200professional $195

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
Kaiser Permanente
Setting
Professional
Modifier
QK · Directing 2–4 cases
Typical Low
$194.98
Median
$194.98
Typical High
$263.03
Kaiser Permanente
Setting
Professional
Modifier
QX · CRNA, directed
Typical Low
$194.98
Median
$194.98
Typical High
$263.03
Kaiser Permanente
Setting
Professional
Modifier
QY · Directing one CRNA
Typical Low
$194.98
Median
$194.98
Typical High
$263.03