go back

Texas 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 July 2026.

How much does HCPCS K0859 cost?

$6,310

Typical negotiated rate. In Texas, July 2026.

Insurers have agreed to pay about $6,310 for this service. The price depends on where it is billed: about $6,310 from a physician practice, and about $5,370 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 9 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$6,310$5,623 to $8,128
FacilityA hospital or hospital-owned outpatient department$5,370$2,399 to $8,318

How much rates vary

Facilitymedian $5,370 · 10th to 90th $490 to $8,318Professionalmedian $6,310 · 10th to 90th $3,890 to $9,772
$100$200$500$1K$2K$5K$10Kfacility $5,370professional $6,310

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
$5,248.07
Median
$6,918.31
Typical High
$10,000.00
Christus
Setting
Facility
Modifier
Global
Typical Low
$8,317.64
Median
$8,317.64
Typical High
$8,317.64
Cigna
Setting
Facility
Modifier
Global
Typical Low
$7,413.10
Median
$7,413.10
Typical High
$7,413.10
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6,309.57
Median
$6,309.57
Typical High
$7,413.10
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$8,128.31
Typical High
$8,128.31
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$1,174.90
Median
$6,918.31
Typical High
$8,317.64
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$3,311.31
Median
$3,311.31
Typical High
$9,549.93
Molina
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$1,122.02
Typical High
$6,456.54
Providence
Setting
Facility
Modifier
Global
Typical Low
$4,570.88
Median
$7,413.10
Typical High
$8,317.64
Providence
Setting
Professional
Modifier
Global
Typical Low
$3,311.31
Median
$6,309.57
Typical High
$7,413.10
United
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$1,862.09
Typical High
$8,317.64
United
Setting
Professional
Modifier
Global
Typical Low
$2,691.53
Median
$3,715.35
Typical High
$6,165.95
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$8,912.51
Median
$8,912.51
Typical High
$8,912.51

Where Texas sits

The same service costs 2.5 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.

Texas· 37th of 51

$6,310

MN $11,482UT $4,571

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.