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Power Wheelchair, Group 1 Standard, Captain's Chair

Illinois rates for HCPCS K0816

Power wheelchair, group 1 standard, captain's chair, patient weight capacity up to and including 300 pounds

Rates data updated October 2026.

How much does Power Wheelchair, Group 1 Standard, Captain's Chair cost?

$1,318

Typical negotiated rate. In Illinois, October 2026.

Insurers have agreed to pay about $1,318 for this service. The price depends on where it is billed: about $851 from a physician practice, and about $2,291 from a hospital or other facility.

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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$851$257 to $2,239
FacilityA hospital or hospital-owned outpatient department$2,291$2,239 to $48,978

How much rates vary

Facilitymedian $2,291 · 10th to 90th $2,239 to $83,176Professionalmedian $851 · 10th to 90th $257 to $2,512
$100$1K$10K$100Kfacility $2,291professional $851

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
$1,949.84
Median
$2,290.87
Typical High
$2,290.87
Aetna
Setting
Professional
Modifier
None
Typical Low
$1,949.84
Median
$2,290.87
Typical High
$2,884.03
BCBS Illinois
Setting
Facility
Modifier
None
Typical Low
$22,908.68
Median
$48,977.88
Typical High
$97,723.72
BCBS Illinois
Setting
Professional
Modifier
None
Typical Low
$257.04
Median
$257.04
Typical High
$257.04
Cigna
Setting
Facility
Modifier
None
Typical Low
$2,238.72
Median
$2,238.72
Typical High
$2,238.72
Cigna
Setting
Professional
Modifier
None
Typical Low
$269.15
Median
$2,238.72
Typical High
$2,238.72
Cigna
Setting
Professional
Modifier
RR · Rental
Typical Low
$190.55
Median
$223.87
Typical High
$223.87
Hally Health
Setting
Professional
Modifier
None
Typical Low
$100.00
Median
$199.53
Typical High
$489.78
Hally Health
Setting
Facility
Modifier
None
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Molina
Setting
Professional
Modifier
None
Typical Low
$128.82
Median
$426.58
Typical High
$2,818.38
United
Setting
Professional
Modifier
None
Typical Low
$1,288.25
Median
$1,584.89
Typical High
$3,162.28
United
Setting
Professional
Modifier
RR · Rental
Typical Low
$173.78
Median
$234.42
Typical High
$467.74
1 more rate 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
Aetna
Setting
Professional
Modifier
UE · Used equipment
Typical Low
$1,479.11
Median
$1,698.24
Typical High
$2,137.96

Where Illinois sits

The same service costs 13.5 times more in Kansas than in Montana. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Illinois· 46th of 51

$1,318

KS $5,754MT $427

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.