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Case Management

Kentucky rates for HCPCS T1016

Case management, each 15 minutes

Rates data updated October 2026.

How much does Case Management cost?

$1.00

Typical physician fee. In Kentucky, October 2026.

Insurers have agreed to pay about $1.00 for this service. Most negotiated rates run $1.00 to $9.33.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $1 · 10th to 90th $1 to $65Professionalmedian $1 · 10th to 90th $1 to $45
$1$2$5$10$20$50facility $1professional $1

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
$1.00
Median
$1.00
Typical High
$1.00
Aetna
Setting
Professional
Modifier
None
Typical Low
$1.00
Median
$1.00
Typical High
$9.33
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$0.15
Median
$0.15
Typical High
$1.41
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$0.10
Median
$0.10
Typical High
$0.93
Cigna
Setting
Facility
Modifier
None
Typical Low
$64.57
Median
$64.57
Typical High
$64.57
Cigna
Setting
Professional
Modifier
None
Typical Low
$14.45
Median
$14.45
Typical High
$14.45
Molina
Setting
Professional
Modifier
None
Typical Low
$44.67
Median
$44.67
Typical High
$44.67
United
Setting
Professional
Modifier
None
Typical Low
$10.00
Median
$10.00
Typical High
$10.00

Where Kentucky 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.

Kentucky· 50th of 51

$1.00

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.