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Tennessee rates for HCPCS K0859

Power wheelchair, group 3 heavy-duty, single power option, captain's chair, patient weight capacity 301 to 450 pounds

Rates data updated October 2026.

How much does HCPCS K0859 cost?

$7,413

Typical negotiated rate. In Tennessee, October 2026.

Insurers have agreed to pay about $7,413 for this service. Most negotiated rates run $4,074 to $7,586.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $7,413 · 10th to 90th $7,413 to $7,762Professionalmedian $6,761 · 10th to 90th $2,884 to $7,762
$5K$10Kfacility $7,413professional $6,761

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
$7,585.78
Median
$7,585.78
Typical High
$7,585.78
Aetna
Setting
Professional
Modifier
None
Typical Low
$7,244.36
Median
$7,585.78
Typical High
$7,943.28
BCBS Tennessee
Setting
Professional
Modifier
None
Typical Low
$7,585.78
Median
$7,585.78
Typical High
$9,772.37
BCBS Tennessee
Setting
Professional
Modifier
RR · Rental
Typical Low
$758.58
Median
$758.58
Typical High
$977.24
Cigna
Setting
Facility
Modifier
None
Typical Low
$7,413.10
Median
$7,413.10
Typical High
$7,762.47
Cigna
Setting
Facility
Modifier
RR · Rental
Typical Low
$741.31
Median
$741.31
Typical High
$776.25
Cigna
Setting
Professional
Modifier
None
Typical Low
$6,309.57
Median
$7,413.10
Typical High
$7,413.10
Cigna
Setting
Professional
Modifier
RR · Rental
Typical Low
$630.96
Median
$741.31
Typical High
$741.31
United
Setting
Professional
Modifier
None
Typical Low
$2,344.23
Median
$3,890.45
Typical High
$5,370.32
United
Setting
Professional
Modifier
RR · Rental
Typical Low
$338.84
Median
$562.34
Typical High
$691.83
1 more rate 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
Aetna
Setting
Professional
Modifier
UE · Used equipment
Typical Low
$5,370.32
Median
$5,623.41
Typical High
$6,025.60

Where Tennessee sits

The same service costs 10.7 times more in North Dakota than in Mississippi. 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.

Tennessee· 18th of 51

$7,413

ND $13,804MS $1,288

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.