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Case Management

Oregon rates for HCPCS T1016

Case management, each 15 minutes

Rates data updated October 2026.

How much does Case Management cost?

$9.55

Typical negotiated rate. In Oregon, October 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 $44.67 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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$9.55$9.55 to $9.55
FacilityA hospital or hospital-owned outpatient department$44.67$26.92 to $44.67

How much rates vary

Facilitymedian $45 · 10th to 90th $27 to $49Professionalmedian $10 · 10th to 90th $10 to $38
$10$20$50facility $45professional $10

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
$9.55
Median
$9.55
Typical High
$9.55
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$1.45
Median
$1.45
Typical High
$1.45
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$0.95
Median
$0.95
Typical High
$0.95
Moda Health
Setting
Facility
Modifier
None
Typical Low
$9.55
Median
$13.80
Typical High
$13.80
Moda Health
Setting
Professional
Modifier
None
Typical Low
$9.55
Median
$9.55
Typical High
$9.55
Moda Health
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$1.45
Median
$1.45
Typical High
$1.45
Moda Health
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$0.95
Median
$0.95
Typical High
$0.95
Pacific Source
Setting
Facility
Modifier
None
Typical Low
$26.92
Median
$44.67
Typical High
$48.98
Pacific Source
Setting
Professional
Modifier
None
Typical Low
$35.48
Median
$35.48
Typical High
$35.48
Providence
Setting
Facility
Modifier
None
Typical Low
$9.33
Median
$9.33
Typical High
$13.49
Providence
Setting
Professional
Modifier
None
Typical Low
$70.79
Median
$79.43
Typical High
$79.43
United
Setting
Professional
Modifier
None
Typical Low
$10.00
Median
$10.00
Typical High
$10.00

Where Oregon 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.

Oregon· 37th 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.