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Case Management

Florida rates for HCPCS T1016

Case management, each 15 minutes

Rates data updated October 2026.

How much does Case Management cost?

$13.80

Typical physician fee. In Florida, October 2026.

Insurers have agreed to pay about $13.80 for this service. Most negotiated rates run $9.55 to $13.80.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $14 · 10th to 90th $14 to $65Professionalmedian $14 · 10th to 90th $1 to $38
$1$2$5$10$20$50facility $14professional $14

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$13.80
Median
$13.80
Typical High
$38.02
Aetna
Setting
Professional
Modifier
None
Typical Low
$9.55
Median
$13.80
Typical High
$38.02
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$1.45
Median
$2.04
Typical High
$5.75
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$0.95
Median
$1.38
Typical High
$3.80
Cigna
Setting
Facility
Modifier
None
Typical Low
$64.57
Median
$64.57
Typical High
$64.57
Cigna
Setting
Professional
Modifier
None
Typical Low
$14.13
Median
$14.13
Typical High
$17.78
Molina
Setting
Professional
Modifier
None
Typical Low
$39.81
Median
$39.81
Typical High
$50.12
United
Setting
Professional
Modifier
None
Typical Low
$10.00
Median
$39.81
Typical High
$60.26
Wellpoint
Setting
Professional
Modifier
None
Typical Low
$1.07
Median
$1.07
Typical High
$1.07

Where Florida sits

The same service costs 331.1 times more in New Jersey than in New York. 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.

Florida· 8th of 51

$13.80

NJ $219NY $0.66

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.