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Pennsylvania 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?

$5,495

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $5,495 for this service. The price depends on where it is billed: about $5,495 from a physician practice, and about $3,802 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$5,495$3,467 to $6,166
FacilityA hospital or hospital-owned outpatient department$3,802$661 to $4,467

How much rates vary

Facilitymedian $3,802 · 10th to 90th $437 to $18,197Professionalmedian $5,495 · 10th to 90th $2,630 to $6,918
$500$1K$2K$5K$10K$20K$50Kfacility $3,802professional $5,495

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. Small sample; interpret with caution. 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
$5,495.41
Typical High
$6,456.54
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$6,165.95
Median
$6,918.31
Typical High
$6,918.31
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3,801.89
Median
$3,801.89
Typical High
$6,025.60
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3,235.94
Median
$3,235.94
Typical High
$12,022.64
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$6,606.93
Median
$6,606.93
Typical High
$8,128.31
Highmark BCBS
Setting
Professional
Modifier
Global
Typical Low
$6,918.31
Median
$6,918.31
Typical High
$6,918.31
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$3,467.37
Median
$5,754.40
Typical High
$6,918.31
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$18,197.01
Median
$36,307.81
Typical High
$48,977.88
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$5,370.32
Median
$10,000.00
Typical High
$10,000.00
United
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$691.83
Typical High
$4,466.84
United
Setting
Professional
Modifier
Global
Typical Low
$2,290.87
Median
$3,467.37
Typical High
$5,754.40

Where Pennsylvania 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.

Pennsylvania· 27th of 51

$5,495

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.