go back

Case Management

New York rates for HCPCS T1016

Case management, each 15 minutes

Rates data updated July 2026.

How much does Case Management cost?

$9.55

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $9.55 for this service. The price depends on where it is billed: about $9.55 from a physician practice, and about $9.55 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 8 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$9.55$9.33 to $9.55
FacilityA hospital or hospital-owned outpatient department$9.55$0.66 to $26.92

How much rates vary

Facilitymedian $10 · 10th to 90th $1 to $219Professionalmedian $10 · 10th to 90th $1 to $38
$1.0$10.0$100.0$1.0K$10.0Kfacility $10professional $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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$0.66
Median
$9.55
Typical High
$218.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1.00
Median
$9.55
Typical High
$38.02
Cigna
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$64.57
Cigna
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$14.79
Typical High
$17.78
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$5.01
Median
$5.01
Typical High
$5.01
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$5.01
Median
$5.01
Typical High
$5.01
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$87.10
Median
$87.10
Typical High
$87.10
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$50,118.72
Median
$50,118.72
Typical High
$53,703.18
Optum
Setting
Professional
Modifier
Global
Typical Low
$9.55
Median
$10.00
Typical High
$10.72
United
Setting
Professional
Modifier
Global
Typical Low
$9.55
Median
$10.00
Typical High
$10.72
Univera
Setting
Facility
Modifier
Global
Typical Low
$5.01
Median
$5.01
Typical High
$5.01
Univera
Setting
Professional
Modifier
Global
Typical Low
$5.01
Median
$5.01
Typical High
$5.01

Where New York sits

The same service costs 3.3 times more in North Dakota than in Washington, DC. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

New York $9.55 · 31st of 51
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.