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Nationwide rates for HCPCS T1016

Case management, each 15 minutes

Facilitymedian $11 · 10th–90th $9$710%20%40%10th90th$11Professionalmedian $9 · 10th–90th $9$380%50%90th$9$0.0$0.2$2.0$20.0$200.0$2.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.94 / $8.91 / $53.70
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $8.91 / $24.55
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.47 / $15.14 / $50.12
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.12 / $35.48 / $83.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.80 / $14.79 / $17.78
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.00 / $10.00 / $13.80
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $10.00 / $16.22