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Anesthesia for Shock Wave Treatment of Kidney Stones

Kentucky 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 October 2026.

How much rates vary

Facilitymedian $62 · 10th to 90th $48 to $437Professionalmedian $295 · 10th to 90th $48 to $550
$50$100$200$500$1Kfacility $62professional $295

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$47.86
Median
$47.86
Typical High
$436.52
Aetna
Setting
Professional
Modifier
None
Typical Low
$44.67
Median
$47.86
Typical High
$562.34
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$169.82
Median
$295.12
Typical High
$467.74
CareSource
Setting
Facility
Modifier
None
Typical Low
$95.50
Median
$125.89
Typical High
$323.59
CareSource
Setting
Professional
Modifier
None
Typical Low
$91.20
Median
$158.49
Typical High
$331.13
Cigna
Setting
Facility
Modifier
None
Typical Low
$61.66
Median
$61.66
Typical High
$61.66
Cigna
Setting
Professional
Modifier
None
Typical Low
$316.23
Median
$457.09
Typical High
$1,071.52
Molina
Setting
Professional
Modifier
None
Typical Low
$380.19
Median
$398.11
Typical High
$398.11
United
Setting
Professional
Modifier
None
Typical Low
$43.65
Median
$53.70
Typical High
$70.79