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New York rates for HCPCS K0857

Power wheelchair, group 3 standard, single power option, captain's chair, patient weight capacity up to and including 300 pounds

Rates data updated July 2026.

How much does HCPCS K0857 cost?

$5,129

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $5,129 for this service. The price depends on where it is billed: about $5,129 from a physician practice, and about $2,692 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 8 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$5,129$4,169 to $6,166
FacilityA hospital or hospital-owned outpatient department$2,692$562 to $3,802

How much rates vary

Facilitymedian $2,692 · 10th to 90th $355 to $5,012Professionalmedian $5,129 · 10th to 90th $2,754 to $10,000
$100$200$500$1K$2K$5K$10Kfacility $2,692professional $5,129

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
$2,630.27
Median
$6,165.95
Typical High
$10,000.00
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$4,466.84
Median
$5,128.61
Typical High
$10,232.93
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$870.96
Typical High
$11,220.18
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$870.96
Typical High
$11,220.18
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3,801.89
Median
$3,801.89
Typical High
$3,801.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$3,801.89
Typical High
$4,570.88
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$4,677.35
Median
$5,888.44
Typical High
$5,888.44
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$5,888.44
Median
$5,888.44
Typical High
$5,888.44
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$5,011.87
Median
$5,011.87
Typical High
$5,888.44
United
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$1,071.52
Typical High
$4,365.16
United
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$3,467.37
Typical High
$5,495.41
Univera
Setting
Facility
Modifier
Global
Typical Low
$4,897.79
Median
$5,011.87
Typical High
$5,888.44
Univera
Setting
Professional
Modifier
Global
Typical Low
$5,011.87
Median
$5,011.87
Typical High
$5,888.44

Where New York sits

The same service costs 2.6 times more in Minnesota than in Utah. 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.

New York· 36th of 51

$5,129

MN $9,772UT $3,802

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.