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Power Wheelchair, Group 1 Standard, Captain's Chair

Texas 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?

$1,905

Typical negotiated rate. In Texas, October 2026.

Insurers have agreed to pay about $1,905 for this service. The price depends on where it is billed: about $1,820 from a physician practice, and about $2,239 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 9 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$1,820$331 to $2,239
FacilityA hospital or hospital-owned outpatient department$2,239$2,089 to $2,399

How much rates vary

Facilitymedian $2,239 · 10th to 90th $347 to $3,162Professionalmedian $1,820 · 10th to 90th $309 to $3,311
$100$200$500$1K$2K$5Kfacility $2,239professional $1,820

Distribution of negotiated rates across all payers (price axis is log-scale). 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
$2,089.30
Typical High
$3,162.28
Aetna
Setting
Professional
Modifier
None
Typical Low
$1,949.84
Median
$2,398.83
Typical High
$3,162.28
BCBS Texas
Setting
Professional
Modifier
None
Typical Low
$309.03
Median
$309.03
Typical High
$309.03
Christus
Setting
Facility
Modifier
None
Typical Low
$2,290.87
Median
$2,290.87
Typical High
$2,290.87
Christus
Setting
Facility
Modifier
RR · Rental
Typical Low
$138.04
Median
$138.04
Typical High
$346.74
Cigna
Setting
Facility
Modifier
None
Typical Low
$2,238.72
Median
$2,238.72
Typical High
$3,019.95
Cigna
Setting
Facility
Modifier
RR · Rental
Typical Low
$223.87
Median
$223.87
Typical High
$302.00
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,905.46
Median
$2,238.72
Typical High
$3,019.95
Cigna
Setting
Professional
Modifier
RR · Rental
Typical Low
$190.55
Median
$223.87
Typical High
$223.87
Moda Health
Setting
Facility
Modifier
None
Typical Low
$346.74
Median
$2,290.87
Typical High
$3,388.44
Moda Health
Setting
Professional
Modifier
None
Typical Low
$1,862.09
Median
$2,344.23
Typical High
$3,162.28
Molina
Setting
Professional
Modifier
None
Typical Low
$81.28
Median
$331.13
Typical High
$3,311.31
Providence
Setting
Facility
Modifier
None
Typical Low
$346.74
Median
$2,238.72
Typical High
$3,162.28
Providence
Setting
Facility
Modifier
RR · Rental
Typical Low
$223.87
Median
$223.87
Typical High
$302.00
Providence
Setting
Professional
Modifier
None
Typical Low
$1,905.46
Median
$2,238.72
Typical High
$2,884.03
Providence
Setting
Professional
Modifier
RR · Rental
Typical Low
$190.55
Median
$223.87
Typical High
$223.87
United
Setting
Professional
Modifier
None
Typical Low
$1,071.52
Median
$1,445.44
Typical High
$2,137.96
United
Setting
Professional
Modifier
RR · Rental
Typical Low
$117.49
Median
$186.21
Typical High
$281.84
Wellpoint
Setting
Professional
Modifier
None
Typical Low
$2,630.27
Median
$2,630.27
Typical High
$3,890.45
2 more rates 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
$1,778.28
Typical High
$2,344.23
Moda Health
Setting
Professional
Modifier
UE · Used equipment
Typical Low
$1,479.11
Median
$1,737.80
Typical High
$2,344.23

Where Texas 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.

Texas· 42nd of 51

$1,905

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.