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Case Management

Texas 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 Texas, 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 $9.55 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 9 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 $50.12
FacilityA hospital or hospital-owned outpatient department$9.55$9.55 to $13.80

How much rates vary

Facilitymedian $10 · 10th to 90th $10 to $14Professionalmedian $10 · 10th to 90th $6 to $50
$1$2$5$10$20$50facility $10professional $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
$9.55
Median
$9.55
Typical High
$9.55
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
BCBS Texas
Setting
Professional
Modifier
None
Typical Low
$50.12
Median
$50.12
Typical High
$50.12
Lucent Health
Setting
Professional
Modifier
None
Typical Low
$19.95
Median
$19.95
Typical High
$19.95
Moda Health
Setting
Facility
Modifier
None
Typical Low
$9.55
Median
$9.55
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
Molina
Setting
Professional
Modifier
None
Typical Low
$30.20
Median
$30.20
Typical High
$30.20
Oscar Health
Setting
Professional
Modifier
None
Typical Low
$10.00
Median
$10.00
Typical High
$10.00
Providence
Setting
Facility
Modifier
None
Typical Low
$9.55
Median
$9.55
Typical High
$13.80
Providence
Setting
Professional
Modifier
None
Typical Low
$79.43
Median
$79.43
Typical High
$79.43
United
Setting
Professional
Modifier
None
Typical Low
$10.00
Median
$10.00
Typical High
$10.00
Wellpoint
Setting
Professional
Modifier
None
Typical Low
$1.07
Median
$1.07
Typical High
$1.07

Where Texas 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.

Texas· 28th 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.