go back

Case Management

New York rates for HCPCS T1016

Case management, each 15 minutes

Rates data updated October 2026.

How much does Case Management cost?

$0.66

Typical negotiated rate. In New York, October 2026.

Insurers have agreed to pay about $0.66 for this service. The price depends on where it is billed: about $0.66 from a physician practice, and about $5.01 from a hospital or other facility.

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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$0.66$0.66 to $9.55
FacilityA hospital or hospital-owned outpatient department$5.01$5.01 to $5.01

How much rates vary

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

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
Facility
Modifier
None
Typical Low
$0.66
Median
$9.55
Typical High
$218.78
Aetna
Setting
Professional
Modifier
None
Typical Low
$0.66
Median
$0.66
Typical High
$9.55
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$0.10
Median
$0.10
Typical High
$1.45
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$0.95
Median
$0.95
Typical High
$3.80
Excellus BCBS
Setting
Facility
Modifier
None
Typical Low
$5.01
Median
$5.01
Typical High
$5.01
Excellus BCBS
Setting
Professional
Modifier
None
Typical Low
$5.01
Median
$5.01
Typical High
$5.01
Highmark BCBS
Setting
Facility
Modifier
None
Typical Low
$87.10
Median
$87.10
Typical High
$87.10
Optum
Setting
Professional
Modifier
None
Typical Low
$10.00
Median
$10.00
Typical High
$10.00
United
Setting
Professional
Modifier
None
Typical Low
$10.00
Median
$10.00
Typical High
$10.72
Univera
Setting
Facility
Modifier
None
Typical Low
$5.01
Median
$5.01
Typical High
$5.01
Univera
Setting
Professional
Modifier
None
Typical Low
$5.01
Median
$5.01
Typical High
$5.01

Where New York 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.

New York· 51st of 51

$0.66

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.