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Case Management

Michigan rates for HCPCS T1016

Case management, each 15 minutes

Rates data updated October 2026.

How much does Case Management cost?

$9.55

Typical physician fee. In Michigan, October 2026.

Insurers have agreed to pay about $9.55 for this service. Most negotiated rates run $9.33 to $9.55.

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 $47 · 10th to 90th $9 to $52Professionalmedian $10 · 10th to 90th $9 to $18
$10$20$50facility $47professional $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
$9.33
Median
$9.33
Typical High
$81.28
Aetna
Setting
Professional
Modifier
None
Typical Low
$9.33
Median
$9.33
Typical High
$9.33
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$1.41
Median
$1.41
Typical High
$1.41
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$0.93
Median
$0.93
Typical High
$0.93
Cigna
Setting
Professional
Modifier
None
Typical Low
$11.75
Median
$13.80
Typical High
$17.78
Health Alliance Plan
Setting
Facility
Modifier
None
Typical Low
$9.55
Median
$47.86
Typical High
$52.48
Health Alliance Plan
Setting
Professional
Modifier
None
Typical Low
$9.55
Median
$9.55
Typical High
$17.78
Health Alliance Plan
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$1.45
Median
$1.45
Typical High
$1.45
Health Alliance Plan
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$0.95
Median
$0.95
Typical High
$0.95
Priority Health
Setting
Professional
Modifier
None
Typical Low
$11.75
Median
$13.80
Typical High
$14.13
United
Setting
Professional
Modifier
None
Typical Low
$10.00
Median
$10.00
Typical High
$10.00

Where Michigan 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.

Michigan· 24th of 51

$9.55

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.