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Standard-Weight Power Wheelchair, Programmable Controls

North Carolina rates for HCPCS K0011

Standard-weight frame motorized/power wheelchair with programmable control parameters for speed adjustment, tremor dampening, acceleration control and braking

Rates data updated July 2026.

How much does Standard-Weight Power Wheelchair, Programmable Controls cost?

$5,012

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $5,012 for this service. The price depends on where it is billed: about $5,012 from a physician practice, and about $3,467 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 5 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$5,012$5,012 to $5,012
FacilityA hospital or hospital-owned outpatient department$3,467$724 to $5,012

How much rates vary

Facilitymedian $3,467 · 10th to 90th $389 to $6,026Professionalmedian $5,012 · 10th to 90th $3,548 to $5,012
$100.0$500.0$2.0K$10.0Kfacility $3,467professional $5,012

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
Professional
Modifier
Global
Typical Low
$5,011.87
Median
$5,011.87
Typical High
$5,011.87
Cigna
Setting
Facility
Modifier
Global
Typical Low
$5,128.61
Median
$5,128.61
Typical High
$5,128.61
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,137.96
Median
$5,128.61
Typical High
$8,317.64
Medcost
Setting
Facility
Modifier
Global
Typical Low
$549.54
Median
$5,011.87
Typical High
$5,495.41
United
Setting
Facility
Modifier
Global
Typical Low
$316.23
Median
$1,621.81
Typical High
$4,897.79
United
Setting
Professional
Modifier
Global
Typical Low
$1,737.80
Median
$2,511.89
Typical High
$3,981.07
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$4,168.69
Median
$33,884.42
Typical High
$33,884.42

Where North Carolina sits

The same service costs 4.4 times more in Kansas than in Utah. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

North Carolina $5,012 · 6th of 51
KS $9,772UT $2,239

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.