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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.

Professionalmedian $195 · 10th–90th $195$2630%20%40%90th$195$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample; interpret with caution. Need provider-level prices? Contact us.

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