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Case Management

Illinois rates for HCPCS T1016

Case management, each 15 minutes

Rates data updated October 2026.

How much does Case Management cost?

$10.47

Typical physician fee. In Illinois, October 2026.

Insurers have agreed to pay about $10.47 for this service. Most negotiated rates run $9.55 to $10.47.

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 $10 · 10th to 90th $10 to $10Professionalmedian $10 · 10th to 90th $10 to $30
$10$20facility $10professional $10

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
$9.55
Median
$9.55
Typical High
$9.55
Aetna
Setting
Professional
Modifier
None
Typical Low
$9.55
Median
$9.55
Typical High
$9.55
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$1.45
Median
$1.45
Typical High
$1.45
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$0.95
Median
$0.95
Typical High
$0.95
BCBS Illinois
Setting
Professional
Modifier
None
Typical Low
$10.47
Median
$10.47
Typical High
$12.88
Cigna
Setting
Professional
Modifier
None
Typical Low
$13.80
Median
$14.13
Typical High
$17.78
Molina
Setting
Professional
Modifier
None
Typical Low
$30.20
Median
$34.67
Typical High
$38.02
United
Setting
Professional
Modifier
None
Typical Low
$10.00
Median
$10.00
Typical High
$12.59

Where Illinois 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.

Illinois· 14th of 51

$10.47

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.