go back

Illinois rates for HCPCS K0838

Power wheelchair, group 2 heavy-duty, single power option, captain's chair, patient weight capacity 301 to 450 pounds

Rates data updated July 2026.

How much does HCPCS K0838 cost?

$3,236

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $3,236 for this service. The price depends on where it is billed: about $3,236 from a physician practice, and about $1,660 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 6 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$3,236$2,754 to $3,236
FacilityA hospital or hospital-owned outpatient department$1,660$513 to $3,388

How much rates vary

Facilitymedian $1,660 · 10th to 90th $316 to $3,388Professionalmedian $3,236 · 10th to 90th $1,288 to $3,981
$100.0$200.0$500.0$1.0K$2.0K$5.0K$10.0Kfacility $1,660professional $3,236

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
Facility
Modifier
Global
Typical Low
$2,818.38
Median
$2,818.38
Typical High
$2,818.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,754.23
Median
$3,235.94
Typical High
$3,981.07
BCBS
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$380.19
Typical High
$616.60
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3,630.78
Median
$3,630.78
Typical High
$3,630.78
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3,090.30
Median
$3,090.30
Typical High
$5,011.87
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$199.53
Typical High
$645.65
Molina
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$512.86
Typical High
$4,265.80
United
Setting
Facility
Modifier
Global
Typical Low
$316.23
Median
$707.95
Typical High
$3,388.44
United
Setting
Professional
Modifier
Global
Typical Low
$1,548.82
Median
$2,344.23
Typical High
$4,073.80

Where Illinois sits

The same service costs 3.4 times more in Kansas than in Oklahoma. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Illinois $3,236 · 25th of 51
KS $8,128OK $2,399

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.