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Power Wheelchair, Group 1 Standard, Captain's Chair

Washington 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?

$1,738

Typical negotiated rate. In Washington, October 2026.

Insurers have agreed to pay about $1,738 for this service. The price depends on where it is billed: about $1,905 from a physician practice, and about $398 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$1,905$562 to $2,630
FacilityA hospital or hospital-owned outpatient department$398$347 to $3,467

How much rates vary

Facilitymedian $398 · 10th to 90th $331 to $3,467Professionalmedian $1,905 · 10th to 90th $275 to $2,754
$100$200$500$1K$2K$5Kfacility $398professional $1,905

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
$1,995.26
Median
$1,995.26
Typical High
$1,995.26
Aetna
Setting
Professional
Modifier
None
Typical Low
$1,995.26
Median
$1,995.26
Typical High
$1,995.26
Aetna
Setting
Professional
Modifier
UE · Used equipment
Typical Low
$1,479.11
Median
$1,479.11
Typical High
$1,479.11
Asuris Northwest Health
Setting
Facility
Modifier
None
Typical Low
$54.95
Median
$54.95
Typical High
$4,073.80
Asuris Northwest Health
Setting
Facility
Modifier
RR · Rental
Typical Low
$269.15
Median
$323.59
Typical High
$407.38
Asuris Northwest Health
Setting
Professional
Modifier
None
Typical Low
$407.38
Median
$3,388.44
Typical High
$3,715.35
Cigna
Setting
Facility
Modifier
None
Typical Low
$2,238.72
Median
$2,238.72
Typical High
$2,398.83
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,905.46
Median
$1,905.46
Typical High
$2,238.72
Cigna
Setting
Professional
Modifier
RR · Rental
Typical Low
$190.55
Median
$190.55
Typical High
$223.87
Kaiser Permanente
Setting
Facility
Modifier
None
Typical Low
$323.59
Median
$407.38
Typical High
$602.56
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$323.59
Median
$407.38
Typical High
$602.56
Pacific Source
Setting
Facility
Modifier
None
Typical Low
$331.13
Median
$331.13
Typical High
$489.78
Premera BCBS
Setting
Facility
Modifier
None
Typical Low
$346.74
Median
$346.74
Typical High
$3,467.37
Premera BCBS
Setting
Facility
Modifier
RR · Rental
Typical Low
$346.74
Median
$346.74
Typical High
$645.65
Premera BCBS
Setting
Facility
Modifier
UE · Used equipment
Typical Low
$2,630.27
Median
$2,630.27
Typical High
$2,630.27
Premera BCBS
Setting
Professional
Modifier
None
Typical Low
$275.42
Median
$660.69
Typical High
$2,754.23
Premera BCBS
Setting
Professional
Modifier
RR · Rental
Typical Low
$275.42
Median
$275.42
Typical High
$346.74
Premera BCBS
Setting
Professional
Modifier
UE · Used equipment
Typical Low
$2,041.74
Median
$2,041.74
Typical High
$2,630.27
Regence BlueShield
Setting
Facility
Modifier
RR · Rental
Typical Low
$323.59
Median
$323.59
Typical High
$380.19
Regence BlueShield
Setting
Professional
Modifier
None
Typical Low
$407.38
Median
$3,548.13
Typical High
$3,715.35
United
Setting
Professional
Modifier
None
Typical Low
$1,288.25
Median
$1,288.25
Typical High
$2,137.96
United
Setting
Professional
Modifier
RR · Rental
Typical Low
$194.98
Median
$194.98
Typical High
$323.59
Wellpoint
Setting
Professional
Modifier
None
Typical Low
$2,630.27
Median
$2,630.27
Typical High
$2,630.27
3 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
Premera BCBS
Setting
Facility
Modifier
KR · Partial-month rental
Typical Low
$11.75
Median
$11.75
Typical High
$11.75
Premera BCBS
Setting
Facility
Modifier
NR · New when rented
Typical Low
$3,467.37
Median
$3,467.37
Typical High
$3,467.37
Premera BCBS
Setting
Professional
Modifier
NR · New when rented
Typical Low
$2,754.23
Median
$2,754.23
Typical High
$3,467.37

Where Washington 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.

Washington· 45th of 51

$1,738

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.