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Case Management

New Jersey rates for HCPCS T1016

Case management, each 15 minutes

Rates data updated July 2026.

How much does Case Management cost?

$9.55

Typical physician fee. In New Jersey, July 2026.

Insurers have agreed to pay about $9.55 for this service. Most negotiated rates run $9.55 to $38.02.

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 $219 · 10th to 90th $219 to $219Professionalmedian $10 · 10th to 90th $6 to $219
$1$5$20$100facility $219professional $10

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. 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
Global
Typical Low
$218.78
Median
$218.78
Typical High
$218.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1.23
Median
$9.55
Typical High
$38.02
Cigna
Setting
Professional
Modifier
Global
Typical Low
$13.80
Median
$13.80
Typical High
$17.38
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$239.88
Typical High
$239.88
United
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$10.00
Typical High
$10.00

Where New Jersey sits

The same service costs 3.3 times more in North Dakota than in Washington, DC. 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.

New Jersey· 24th of 51

$9.55

ND $31.62DC $9.55

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.