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Case Management

California rates for HCPCS T1016

Case management, each 15 minutes

Rates data updated July 2026.

How much does Case Management cost?

$9.55

Typical negotiated rate. In California, July 2026.

Insurers have agreed to pay about $9.55 for this service. The price depends on where it is billed: about $9.55 from a physician practice, and about $12.88 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$9.55$9.55 to $15.49
FacilityA hospital or hospital-owned outpatient department$12.88$9.55 to $38.02

How much rates vary

Facilitymedian $13 · 10th to 90th $9 to $48Professionalmedian $10 · 10th to 90th $9 to $38
$1.0$10.0$100.0facility $13professional $10

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
$38.02
Median
$38.02
Typical High
$38.02
Aetna
Setting
Professional
Modifier
Global
Typical Low
$7.76
Median
$9.55
Typical High
$38.02
Blue Shield
Setting
Professional
Modifier
Global
Typical Low
$13.49
Median
$15.49
Typical High
$30.20
Cigna
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$14.13
Typical High
$17.78
Contra Costa Health
Setting
Professional
Modifier
Global
Typical Low
$13.49
Median
$13.49
Typical High
$16.22
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$44.67
Typical High
$630.96
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$19.95
Typical High
$19.95
Optum
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$10.00
Typical High
$10.23
Providence
Setting
Facility
Modifier
Global
Typical Low
$8.71
Median
$10.00
Typical High
$44.67
Providence
Setting
Professional
Modifier
Global
Typical Low
$1.23
Median
$79.43
Typical High
$79.43
United
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$10.00
Typical High
$39.81

Where California sits

The same service costs 3.3 times more in North Dakota than in Washington, DC. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

California $9.55 · 15th of 51
ND $31.62DC $9.55

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.