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Case Management

Maine rates for HCPCS T1016

Case management, each 15 minutes

Rates data updated October 2026.

How much does Case Management cost?

$7.94

Typical physician fee. In Maine, October 2026.

Insurers have agreed to pay about $7.94 for this service. Most negotiated rates run $7.94 to $7.94.

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

Professionalmedian $8 · 10th to 90th $8 to $8
$10professional $8

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$7.94
Median
$7.94
Typical High
$7.94
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$1.20
Median
$1.20
Typical High
$1.20
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$0.79
Median
$0.79
Typical High
$0.79
Harvard Pilgrim
Setting
Professional
Modifier
None
Typical Low
$10.00
Median
$10.00
Typical High
$22.91
Martin's Point
Setting
Professional
Modifier
None
Typical Low
$7.94
Median
$7.94
Typical High
$7.94
Martin's Point
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$1.20
Median
$1.20
Typical High
$1.20
Martin's Point
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$0.79
Median
$0.79
Typical High
$0.79
United
Setting
Professional
Modifier
None
Typical Low
$10.00
Median
$10.00
Typical High
$22.91

Where Maine 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.

Maine· 46th of 51

$7.94

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.