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Ohio 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?

$5,623

Typical negotiated rate. In Ohio, July 2026.

Insurers have agreed to pay about $5,623 for this service. The price depends on where it is billed: about $5,623 from a physician practice, and about $3,388 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$5,623$5,012 to $6,310
FacilityA hospital or hospital-owned outpatient department$3,388$1,072 to $5,623

How much rates vary

Facilitymedian $3,388 · 10th to 90th $339 to $7,079Professionalmedian $5,623 · 10th to 90th $3,162 to $9,120
$500$1K$2K$5K$10K$20Kfacility $3,388professional $5,623

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
$5,623.41
Median
$5,623.41
Typical High
$5,623.41
Aetna
Setting
Professional
Modifier
Global
Typical Low
$5,495.41
Median
$5,623.41
Typical High
$7,079.46
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$5,128.61
Median
$5,754.40
Typical High
$13,182.57
CareSource
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$1,047.13
Typical High
$12,589.25
CareSource
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$933.25
Typical High
$12,589.25
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3,801.89
Median
$3,801.89
Typical High
$3,981.07
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3,235.94
Median
$3,235.94
Typical High
$4,073.80
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$3,801.89
Median
$3,801.89
Typical High
$3,981.07
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$3,235.94
Median
$3,235.94
Typical High
$3,801.89
Molina
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$1,000.00
Typical High
$5,370.32
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$7,079.46
Median
$8,709.64
Typical High
$12,022.64
United
Setting
Facility
Modifier
Global
Typical Low
$309.03
Median
$1,071.52
Typical High
$7,079.46
United
Setting
Professional
Modifier
Global
Typical Low
$2,041.74
Median
$3,235.94
Typical High
$5,011.87

Where Ohio 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.

Ohio· 24th of 51

$5,623

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.